Intermittent Tethering of Second-Order Chords After Mitral Valve Repair for Bileaflet Prolapse

Mitral valve regurgitation which occurs immediately after repair can be due to anatomic (failure of repair) or functional (systolic anterior motion) reasons. We report a case where a patient with bileaflet prolapse showed, after surgical correction of the disease, moderate to severe regurgitation af...

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Veröffentlicht in:	The Annals of thoracic surgery 2013-12, Vol.96 (6), p.e145-e146
Hauptverfasser:	Iacò, Angela L., MD, Ahmed, Ahmed A., MD, Al Zaharani, Gormallah, MD, Al Amri, Hussein, MD, Di Mauro, Michele, MD, Calafiore, Antonio M., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Cardiac Surgical Procedures - methods Cardiothoracic Surgery Chordae Tendineae - diagnostic imaging Chordae Tendineae - surgery Echocardiography, Transesophageal Humans Male Middle Aged Mitral Valve - diagnostic imaging Mitral Valve - surgery Mitral Valve Insufficiency - diagnostic imaging Mitral Valve Insufficiency - surgery Mitral Valve Prolapse - diagnostic imaging Mitral Valve Prolapse - etiology Mitral Valve Prolapse - surgery Postoperative Complications - diagnostic imaging Postoperative Complications - surgery Surgery
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Zusammenfassung:	Mitral valve regurgitation which occurs immediately after repair can be due to anatomic (failure of repair) or functional (systolic anterior motion) reasons. We report a case where a patient with bileaflet prolapse showed, after surgical correction of the disease, moderate to severe regurgitation after cardiopulmonary bypass was stopped. The regurgitation was due to second-order tethering and was successfully treated with second-order chordal cutting.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2013.07.092