[The double ring: a new technique for mitral repair].

Ischemic mitral regurgitation (IMR) is a common complication of coronary disease that doubles postinfarction mortality. The main mechanism of IMR is left ventricular remodeling, which results in dilation of the mitral ring and displacement of the papillary muscles (PM). Reductive annuloplasty, the standard reparative technique used, leads to a large percentage of recurrences; hence, other techniques that act on ventricular remodeling are required. We present the case of a 61-year-old patient who came to the hospital for symptoms of congestive heart failure. A diagnosis of asymptomatic inferolateral infarction was established, with decreased injection fraction and severe mitral regurgitation, secondary to mitral ring dilation and distortion of the ventricular geometry with PM displacement (Figure 1). The IMAGES IN CARDIOLOGY