| Repair of bileaflet prolapse in barlow syndrome. | |
| | |
MedLine Citation:
|
PMID: 21092896 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
Mitral valve (MV) leaflet billowing, prolapse, and excessive tissue are hallmarks of Barlow syndrome. Successful MV repair can be a challenge in these oftentimes young and otherwise healthy patients. We herein present details on our stepwise approach to MV repair for Barlow syndrome including: (1) surgical approach; (2) MV exposure; (3) assessment of MV pathology; (4) repair of leaflet prolapse; (5) choice and sizing of annuloplasty ring; and (6) fine-tuning and troubleshooting. Our repair strategy involves extensive use of Gore-Tex neochordae using the so-called "loop technique." We have used this operative strategy via a right mini-thoracotomy in 436 patients with bileaflet prolapse and 144 patients with Barlow syndrome. Our successful MV repair rate is 95% in patients with Barlow syndrome and the ten-year freedom from reoperation rate is 96% for such patients. We can conclude that a stepwise approach to this MV pathology with extensive use of the loop technique can result in very acceptable outcomes, even in patients undergoing minimal invasive surgery. |
| | |
Authors:
|
Michael A Borger; Friedrich W Mohr |
Related Documents
:
|
12380966 - Diagnosis and management of aplastic anemia and myelodysplastic syndrome. 6662116 - Characteristics of atrio-his conduction in the short pr interval, normal qrs complex sy... 22452876 - Intestinal t-cell lymphoma with severe hypereosinophilic syndrome in a cat. 19319076 - Preventing postsurgical dissatisfaction syndrome after rhinoplasty with propranolol: a ... 22022186 - Serum ca125 concentration has inverse correlation with metabolic syndrome. 18769286 - Reversible chest tube horner syndrome. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Seminars in thoracic and cardiovascular surgery Volume: 22 ISSN: 1532-9488 ISO Abbreviation: Semin. Thorac. Cardiovasc. Surg. Publication Date: 2010 |
Date Detail:
|
Created Date: 2010-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8917640 Medline TA: Semin Thorac Cardiovasc Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 174-8 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany. michael.borger@med.uni-leipzig.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Tracheobronchomalacia in adults.
Next Document: Visual perception of effervescence in champagne and other sparkling beverages.