ABSTRACT Severe functional
mitral valve regurgitation should be treated in
patients undergoing
myocardial revascularization. When replacement is considered the best
therapeutic option, preservation of the mitral subvalvular apparatus is crucial, especially in the
emergency setting, because of its primary
role in preserving geometry and function of left and
right ventricles. Here we present a simple and quick
technique, where subvalvular apparatus is preserved in toto in
patients undergoing
mitral valve replacement with a
bioprosthesis.