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Chordal cutting for severely restricted mitral anterior leaflet
Abstract
Functional mitral regurgitation (MR) is usually caused by cardiomyopathy. Herein, we present chordal cutting and ring annuloplasty due to severely restricted anterior leaflet. Seventy-seven years old, male patient suffering shortness of breath had the diagnosis of severe mitral regurgitation and coronary artery disease. Preoperative echocardiography showed reduced ejection fraction and severe central
jet due to tethering of secondary chordae. Restricted chordae were resected by transverse aortotomy, saphenous graft bypass was done, and semi-rigid ring was implanted. Postoperative echocardiography showed no residual regurgitation, excellent mobility of anterior leaflet. Chordal cutting seems to be an effective technique to treat functional MR caused by the restriction of anterior leaflet
Keywords
References
- Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017; 135 (25): e1159-e95.
- Goldstein D, Moskowitz AJ, Gelijns AC, et al. Two-Year Outcomes of Surgical Treatment of Severe Ischemic Mitral Regurgitation. N Engl J Med. 2016; 374 (4): 344-53.
- Messas E, Guerrero JL, Handschumacher MD, et al. Chordal cutting: a new therapeutic approach for ischemic mitral regurgitation. Circulation. 2001; 104 (16): 1958-63.
- Girdauskas E, Pausch J, Harmel E, et al. Minimally invasive mitral valve repair for functional mitral regurgitation. Eur J Cardiothorac Surg. 2019; 55 (Supplement_1): i17-i25.
- McGee EC, Gillinov AM, Blackstone EH, et al. Recurrent mitral regurgitation after annuloplasty for functional ischemic mitral regurgitation. J Thorac Cardiovasc Surg. 2004; 128 (6): 916-24.
- Kron IL, Green GR, Cope JT. Surgical relocation of the posterior papillary muscle in chronic ischemic mitral regurgitation. Ann Thorac Surg. 2002; 74 (2): 600-1.
- Mihos CG, Xydas S, Yucel E, et al. Mitral valve repair and subvalvular intervention for secondary mitral regurgitation: a systematic review and meta-analysis of randomized controlled and propensity matched studies. J Thorac Dis. 2017; 9 (Suppl 7): S582-S94.
- Borger MA, Murphy PM, Alam A, et al. Initial results of the chordal-cutting operation for ischemic mitral regurgitation. J Thorac Cardiovasc Surg. 2007; 133 (6): 1483-92.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Case Report
Publication Date
September 12, 2022
Submission Date
November 10, 2021
Acceptance Date
March 11, 2022
Published in Issue
Year 2022 Volume: 61 Number: 3
APA
Ertugay, S., & Yağdı, T. (2022). Chordal cutting for severely restricted mitral anterior leaflet. Ege Tıp Dergisi, 61(3), 501-504. https://doi.org/10.19161/etd.1167398
AMA
1.Ertugay S, Yağdı T. Chordal cutting for severely restricted mitral anterior leaflet. EJM. 2022;61(3):501-504. doi:10.19161/etd.1167398
Chicago
Ertugay, Serkan, and Tahir Yağdı. 2022. “Chordal Cutting for Severely Restricted Mitral Anterior Leaflet”. Ege Tıp Dergisi 61 (3): 501-4. https://doi.org/10.19161/etd.1167398.
EndNote
Ertugay S, Yağdı T (September 1, 2022) Chordal cutting for severely restricted mitral anterior leaflet. Ege Tıp Dergisi 61 3 501–504.
IEEE
[1]S. Ertugay and T. Yağdı, “Chordal cutting for severely restricted mitral anterior leaflet”, EJM, vol. 61, no. 3, pp. 501–504, Sept. 2022, doi: 10.19161/etd.1167398.
ISNAD
Ertugay, Serkan - Yağdı, Tahir. “Chordal Cutting for Severely Restricted Mitral Anterior Leaflet”. Ege Tıp Dergisi 61/3 (September 1, 2022): 501-504. https://doi.org/10.19161/etd.1167398.
JAMA
1.Ertugay S, Yağdı T. Chordal cutting for severely restricted mitral anterior leaflet. EJM. 2022;61:501–504.
MLA
Ertugay, Serkan, and Tahir Yağdı. “Chordal Cutting for Severely Restricted Mitral Anterior Leaflet”. Ege Tıp Dergisi, vol. 61, no. 3, Sept. 2022, pp. 501-4, doi:10.19161/etd.1167398.
Vancouver
1.Serkan Ertugay, Tahir Yağdı. Chordal cutting for severely restricted mitral anterior leaflet. EJM. 2022 Sep. 1;61(3):501-4. doi:10.19161/etd.1167398