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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Treatment of ruptured or elongated anterior mitral valve chordae by partial transposition of the posterior leaflet: Experience with 29 patients
The Annals of Thoracic Surgery, Volume 45, No. 4, Year 1988
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Description
We report a series of 29 patients, 5 to 75 years of age (mean age, 31.8 ± 21.4 [SD] years), with pure mitral regurgitation caused by ruptured or elongated chordae of the anterior mitral leaflet. These patients underwent mitral valve repair by segmental transposition of the posterior leaflet with its attached chordae sutured to the free edge of the flail anterior leaflet. There were 2 hospital deaths. Follow-up ranged from 1 to 35 months (mean follow-up, 14.9 ± 8.5 months). One patient is lost to follow-up. Two patients are in New York Heart Association Functional Class II; all others are in Class I. In 17 patients there is no detectable murmur; in 5 patients a mild to moderate systolic murmur can be detected, while 4 have a marked systolic murmur. The adequacy of the repair could be confirmed by Doppler echocardiography, which has shown no evidence of prolapse in 22 patients. A mild regurgitation jet is present in 4 patients, and a marked jet, in 3. Postoperative cardiac catheterization performed in 5 patients has confirmed the Doppler echocardiographic findings. Although longer follow-up is necessary, this technique appears adequate for repairing a major prolapse of the anterior leaflet caused by multiple ruptured or elongated chordae, therefore obviating the need for a prosthetic valve substitute. © 1988.
Authors & Co-Authors
Lessana, Arrigo
France, Aubervilliers
Service de Chirurgie Cardio-vasculaire
France, Paris
Hopital Cochin Ap-hp
Algeria, Algerie
From the Clinique Pédiatrique
Romano, Mauro
France, Aubervilliers
Service de Chirurgie Cardio-vasculaire
France, Paris
Hopital Cochin Ap-hp
Algeria, Algerie
From the Clinique Pédiatrique
Lutfalla, Geneviève
France, Aubervilliers
Service de Chirurgie Cardio-vasculaire
France, Paris
Hopital Cochin Ap-hp
Algeria, Algerie
From the Clinique Pédiatrique
Carbone, Carmine
France, Aubervilliers
Service de Chirurgie Cardio-vasculaire
France, Paris
Hopital Cochin Ap-hp
Algeria, Algerie
From the Clinique Pédiatrique
Palsky, Evelyne
France, Aubervilliers
Service de Chirurgie Cardio-vasculaire
France, Paris
Hopital Cochin Ap-hp
Algeria, Algerie
From the Clinique Pédiatrique
Amalou, Sid Ali
France, Aubervilliers
Service de Chirurgie Cardio-vasculaire
France, Paris
Hopital Cochin Ap-hp
Algeria, Algerie
From the Clinique Pédiatrique
Escorsin, Marcio
France, Aubervilliers
Service de Chirurgie Cardio-vasculaire
France, Paris
Hopital Cochin Ap-hp
Algeria, Algerie
From the Clinique Pédiatrique
Statistics
Citations: 31
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.1016/S0003-4975(98)90013-3
ISSN:
00034975
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study