Document Detail


Triangular resection and folding of posterior leaflet for mitral valve repair.
MedLine Citation:
PMID:  16684059     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The conventional treatment of mitral insufficiency, due to posterior leaflet prolapse, is quadrangular resection. This technique sacrifices a great amount of valve tissue resulting in leaflet stiffness and altered annular geometry. To avoid such problems we performed a small triangular leaflet resection sparing the second-order chordae, a folding plasty, implantation of artificial chordae, and annuloplasty. Fourteen patients underwent this procedure. No hospital death and no repair failure were observed. Echocardiography at 12 months on 12 patients showed trivial incompetence in three and mild in one and an overall improvement of end-diastolic and end-systolic diameters. Our technique has the main objectives of sparing second-order chordae and subvalvular apparatus in order to preserve mobility of the posterior mitral leaflet, left ventricular geometry, and function. Preliminary results are encouraging.
Authors:
Uberto Da Col; Isidoro Di Bella; Giuliana Bardelli; Giovanna Koukoulis; Enrico Ramoni; Temistocle Ragni
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  21     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2006 May-Jun
Date Detail:
Created Date:  2006-05-10     Completed Date:  2006-10-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-6; discussion 277     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Ospedale Silvestrini Perugia, Italy.
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MeSH Terms
Descriptor/Qualifier:
Chordae Tendineae / surgery
Echocardiography
Follow-Up Studies
Heart Valve Prosthesis Implantation / methods*
Humans
Mitral Valve / surgery*
Mitral Valve Insufficiency / surgery*,  ultrasonography
Polytetrafluoroethylene
Prosthesis Design
Suture Techniques
Treatment Outcome
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

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


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