[Ischemic cardiomyopathy with mitral valve regurgitation and atrial fibrillation; report of a case].

A 45-year-old man suffering from severe heart failure due to mitral regurgitation and atrial fibrillation was admitted to our hospital. He underwent intracoronary thrombolysis for left anterior descending artery 10 years ago and stent insertion for right coronary artery 3 years ago. We performed mitral annuloplasty using a Carpentier-Edwards Physio ring 28mm and modified maze procedure. The modified maze procedure consists of right sided left atriotomy extended to the left margin of the left pulmonary vein orifices and cryoablation applied to the remnant of the left atrial wall between the left upper and lower pulmonary vein orifice and cryoablation applied to the right atrial isthmus. These procedures could be effective for endstage heart failure.