Olgu Sunumu

Chordal cutting for severely restricted mitral anterior leaflet

Cilt: 61 Sayı: 3 12 Eylül 2022
  • Serkan Ertugay *
  • Tahir Yağdı
PDF İndir
EN TR

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

Kaynakça

  1. 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.
  2. 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.
  3. Messas E, Guerrero JL, Handschumacher MD, et al. Chordal cutting: a new therapeutic approach for ischemic mitral regurgitation. Circulation. 2001; 104 (16): 1958-63.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Olgu Sunumu

Yazarlar

Serkan Ertugay *
0000-0003-4129-2217
Türkiye

Tahir Yağdı
Türkiye

Yayımlanma Tarihi

12 Eylül 2022

Gönderilme Tarihi

10 Kasım 2021

Kabul Tarihi

11 Mart 2022

Yayımlandığı Sayı

Yıl 2022 Cilt: 61 Sayı: 3

Kaynak Göster

Vancouver
1.Serkan Ertugay, Tahir Yağdı. Chordal cutting for severely restricted mitral anterior leaflet. ETD. 01 Eylül 2022;61(3):501-4. doi:10.19161/etd.1167398

Ege Tıp Dergisi, makalelerin Atıf-Gayri Ticari-Aynı Lisansla Paylaş 4.0 Uluslararası (CC BY-NC-SA 4.0) lisansına uygun bir şekilde paylaşılmasına izin verir.