| Triangular resection and folding of posterior leaflet for mitral valve repair. | |
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MedLine Citation:
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PMID: 16684059 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Uberto Da Col; Isidoro Di Bella; Giuliana Bardelli; Giovanna Koukoulis; Enrico Ramoni; Temistocle Ragni |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of cardiac surgery Volume: 21 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 2006 May-Jun |
Date Detail:
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Created Date: 2006-05-10 Completed Date: 2006-10-24 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: United States |
Other Details:
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Languages: eng Pagination: 274-6; discussion 277 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, Ospedale Silvestrini Perugia, Italy. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Chordae Tendineae
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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:
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9002-84-0/Polytetrafluoroethylene |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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