Document Detail


"Adjustable" artificial chordal replacement for repair of mitral valve prolapse.
MedLine Citation:
PMID:  16564319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Achieving a stable repair of mitral valve prolapse can be difficult in complex pathologies, and a 5% to 20% late reoperation rate exists with leaflet resection and reconstruction. During an 8-year period, prolapse was managed uniformly with "adjustable" Gortex (W. L. Gore & Associates Inc, Flagstaff, AZ) artificial chordal replacement and Carpentier ring annuloplasty (Edwards Lifesciences LLC, Irvine, CA), without leaflet resection. Artificial chords were placed initially in the papillary muscles, and then after ring annuloplasty they were adjusted to optimize length to the prolapsing segment(s). Of 52 patients with prolapse, 100% were repaired successfully with artificial chords. Operative mortality was 1.9%, and 4, 6, and 8-year survivals were 87%, 81%, and 71%, respectively. Only 1 of 52 patients (1.9%) experienced late failure, and this patient was re-repaired with artificial chords. Thus, "adjustable" artificial chordal replacement facilitates uniform repair of mitral valve prolapse with a low late failure rate.
Authors:
J Scott Rankin; Ricardo E Orozco; Tracey L Rodgers; David D Alfery; Donald D Glower
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  81     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-03-27     Completed Date:  2006-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1526-8     Citation Subset:  AIM; IM    
Affiliation:
Centennial Hospital, Vanderbilt University, Nashville, Tennessee, USA. jsrankinmd@cs.com
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MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures / methods
Chordae Tendineae / surgery*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Mitral Valve Prolapse / surgery*
Prostheses and Implants*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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