Document Detail


Mitral insufficiency due to an isolated anterior-leaflet cleft: correction with an autologous pericardial patch supported by artificial chordae.
MedLine Citation:
PMID:  21720461     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congenital clefts of the mitral valve without an associated atrioventricular canal defect are rare, and they may cause mitral insufficiency that requires surgical correction. Repair is typically by direct suture; however, if the cleft is especially wide, the use of this technique may distort the valve leaflet and cause poor coaptation with valvular insufficiency.Herein, we present the case of a 39-year-old woman who had severe mitral valve insufficiency secondary to a wide isolated cleft of the anterior mitral leaflet. The valve was reconstructed with an autologous pericardial patch supported by polytetrafluoroethylene neochordae and an implanted annuloplasty ring. Echocardiographic examination 1 year postoperatively showed excellent competence of the mitral valve and good coaptation of the leaflets. To our knowledge, this is the 1st report that describes the use of artificial neochordae to support an autologous pericardial patch in the repair of a cleft in the anterior mitral valve leaflet.
Authors:
Lavinia E Zamfir; Marco Diena; Gheorghe Cerin; Mehrzad Hakimpour; Diana C Benea; Ugo F Tesler
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  38     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2011  
Date Detail:
Created Date:  2011-07-01     Completed Date:  2011-10-31     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243-5     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Policlinico di Monza, Clinica San Gaudenzio, 28100 Novara, Italy. laviniazamfir@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Echocardiography, Doppler, Color
Echocardiography, Three-Dimensional
Echocardiography, Transesophageal
Female
Heart Defects, Congenital / complications,  surgery*,  ultrasonography
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation / instrumentation*
Humans
Mitral Valve / abnormalities,  surgery*,  ultrasonography
Mitral Valve Annuloplasty / instrumentation*
Mitral Valve Insufficiency / etiology,  surgery*,  ultrasonography
Pericardium / transplantation*
Prosthesis Design
Severity of Illness Index
Suture Techniques
Transplantation, Autologous
Treatment Outcome
Comments/Corrections

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


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