A Simple Nonresectional Technique for Degenerative Mitral Regurgitation With a Very Large Posterior Leaflet: Chordal Foldoplasty
Leaflet resection with sliding valvuloplasty or additional chordal replacement is a standard technique for very large posterior leaflet prolapse. Regular chordal replacement without resection is simpler than those techniques. However, it may not reduce the leaflet height enough to avoid systolic ant...
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| Veröffentlicht in: | The Annals of thoracic surgery 2016-05, Vol.101 (5), p.e179-e181 |
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| container_title | The Annals of thoracic surgery |
| container_volume | 101 |
| creator | Tabata, Minoru, MD, MPH Nakatsuka, Daisuke, MD Nishida, Hidefumi, MD Takanashi, Shuichiro, MD Hiraiwa, Nobuhiko, MD Kawano, Yuji, MD |
| description | Leaflet resection with sliding valvuloplasty or additional chordal replacement is a standard technique for very large posterior leaflet prolapse. Regular chordal replacement without resection is simpler than those techniques. However, it may not reduce the leaflet height enough to avoid systolic anterior motion. In our technique, two pairs of neochordae are placed on the middle portion of the prolapsing scallop, which fixes the prolapse, reduces the functional height of the posterior leaflet, and blocks the leaflet tip from moving forward. This simple nonresectional technique can be easily performed with minimally invasive approaches. Postoperative echocardiography shows excellent leaflet motion and deep coaptation. |
| doi_str_mv | 10.1016/j.athoracsur.2015.12.013 |
| format | Article |
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Postoperative echocardiography shows excellent leaflet motion and deep coaptation.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2015.12.013</identifier><identifier>PMID: 27106474</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged ; Cardiothoracic Surgery ; Chordae Tendineae - surgery ; Echocardiography ; Humans ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Mitral Valve Insufficiency - surgery ; Mitral Valve Prolapse - surgery ; Surgery</subject><ispartof>The Annals of thoracic surgery, 2016-05, Vol.101 (5), p.e179-e181</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2016 The Society of Thoracic Surgeons</rights><rights>Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. 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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Cardiothoracic Surgery Chordae Tendineae - surgery Echocardiography Humans Middle Aged Minimally Invasive Surgical Procedures - methods Mitral Valve Insufficiency - surgery Mitral Valve Prolapse - surgery Surgery |
| title | A Simple Nonresectional Technique for Degenerative Mitral Regurgitation With a Very Large Posterior Leaflet: Chordal Foldoplasty |
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