System and a method for altering the geometry of the heart

A system (1) for altering the geometry of a heart (100), comprising

• an annuloplasty ring (10) for supporting the geometry of an annulus (180) of the heart (100), being attachable to said annulus (180), and having an upper side (10a) and a lower side (10b);
• a set of elongate annulus-papillary tension members (21, 22, 23, 24), each of which tension members are adapted for forming a link between said annuloplasty ring (10) and a papillary muscle (170, 171) of the heart (100), each of said tension members (21, 22, 23, 24) having a first end (21a, 22a, 23a, 24a) and a second end (21b, 22b, 23b, 24b);
• and
• a first set of papillary anchors (30) for connecting each of the second ends (21b, 22b, 23b, 24b) of said annulus-papillary tension members (21, 22, 23, 24) to said papillary muscle (170, 171);
• characterized in that said annuloplasty ring (10) has at least one aperture (12, 13) located on said lower side (10b) and at least one aperture (11) located on said upper side (10a);
• where each of said annulus-papillary tension members (21, 22, 23, 24) are extendable through said annuloplasty ring (10) through said apertures (11, 12, 13), and through an atrium (150) of said heart (100) to an exterior side (151a) of an exterior wall (151) of said atrium (150), such that the distance of each link between the annulus (180) and the papillary muscles (170, 171) is adjustable from a position exterior to the heart (100).