Ann Thorac Surg. 2011 Oct;92(4):1532-3.

Posterior chordal cutting in rheumatic mitral regurgitation due to hypomobility of the posterior leaflet.

Calafiore AM, Farah I, Iaco AL, Al Ahmari S, Al Amri H, Di Mauro M.

Source

Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia. am.calafiore@gmail.com

Abstract

A technique is described for correction of mitral regurgitation when the posterior leaflet has a reasonable length (approximately 10 mm), but its movements are limited by thickened and short chords. To avoid further retraction when a band or a ring is positioned to force leaflets coaptation, native chords are replaced by artificial chords (leaving 10 mm of extra length), which are then cut. In 6 patients, after 6 months of follow-up, the results are good.

PMID:: 21958818; [PubMed - indexed for MEDLINE]

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