Twenty-year results of artificial chordae replacement in mitral valve repair
Mitral valve repair (MVR) is the treatment of choice in cases of degenerative mitral valve (MV) regurgitation, with superior results compared to MV replacement. The feasibility of the procedure is up to 95% and it should be considered in all patients. Different techniques have been described, comprising procedures on valve leaflets, the subvalvular apparatus, and annulus. Posterior leaflet prolapse is traditionally corrected by Carpentier’s quadrangular resection with or without sliding plasty. Anterior leaflet prolapse is still more technically demanding and various types of reconstructive techniques have been described, not always leading to satisfactory overall results. Efforts to find a substitute for elongated or ruptured chordae date back to the 1960s.
KeywordsInfective Endocarditis Mitral Valve Replacement Mitral Valve Repair Posterior Leaflet Systolic Anterior Motion
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