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"Adjustable" artificial chordal replacement for repair of mitral valve prolapse.

Publication ,  Journal Article
Rankin, JS; Orozco, RE; Rodgers, TL; Alfery, DD; Glower, DD
Published in: Ann Thorac Surg
April 2006

Achieving a stable repair of mitral valve prolapse can be difficult in complex pathologies, and a 5% to 20% late reoperation rate exists with leaflet resection and reconstruction. During an 8-year period, prolapse was managed uniformly with "adjustable" Gortex (W. L. Gore & Associates Inc, Flagstaff, AZ) artificial chordal replacement and Carpentier ring annuloplasty (Edwards Lifesciences LLC, Irvine, CA), without leaflet resection. Artificial chords were placed initially in the papillary muscles, and then after ring annuloplasty they were adjusted to optimize length to the prolapsing segment(s). Of 52 patients with prolapse, 100% were repaired successfully with artificial chords. Operative mortality was 1.9%, and 4, 6, and 8-year survivals were 87%, 81%, and 71%, respectively. Only 1 of 52 patients (1.9%) experienced late failure, and this patient was re-repaired with artificial chords. Thus, "adjustable" artificial chordal replacement facilitates uniform repair of mitral valve prolapse with a low late failure rate.

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Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

April 2006

Volume

81

Issue

4

Start / End Page

1526 / 1528

Location

Netherlands

Related Subject Headings

  • Respiratory System
  • Prostheses and Implants
  • Mitral Valve Prolapse
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Chordae Tendineae
  • Cardiac Surgical Procedures
 

Citation

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Rankin, J. S., Orozco, R. E., Rodgers, T. L., Alfery, D. D., & Glower, D. D. (2006). "Adjustable" artificial chordal replacement for repair of mitral valve prolapse. Ann Thorac Surg, 81(4), 1526–1528. https://doi.org/10.1016/j.athoracsur.2005.01.042
Rankin, J Scott, Ricardo E. Orozco, Tracey L. Rodgers, David D. Alfery, and Donald D. Glower. “"Adjustable" artificial chordal replacement for repair of mitral valve prolapse.Ann Thorac Surg 81, no. 4 (April 2006): 1526–28. https://doi.org/10.1016/j.athoracsur.2005.01.042.
Rankin JS, Orozco RE, Rodgers TL, Alfery DD, Glower DD. "Adjustable" artificial chordal replacement for repair of mitral valve prolapse. Ann Thorac Surg. 2006 Apr;81(4):1526–8.
Rankin, J. Scott, et al. “"Adjustable" artificial chordal replacement for repair of mitral valve prolapse.Ann Thorac Surg, vol. 81, no. 4, Apr. 2006, pp. 1526–28. Pubmed, doi:10.1016/j.athoracsur.2005.01.042.
Rankin JS, Orozco RE, Rodgers TL, Alfery DD, Glower DD. "Adjustable" artificial chordal replacement for repair of mitral valve prolapse. Ann Thorac Surg. 2006 Apr;81(4):1526–1528.
Journal cover image

Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

April 2006

Volume

81

Issue

4

Start / End Page

1526 / 1528

Location

Netherlands

Related Subject Headings

  • Respiratory System
  • Prostheses and Implants
  • Mitral Valve Prolapse
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Chordae Tendineae
  • Cardiac Surgical Procedures