Posterior chordal cutting in rheumatic mitral regurgitation due to hypomobility of the posterior leaflet.

Calafiore, Antonio Maria; Farah, Ibrahim; Iaco, Angela Lorena; Al Ahmari, Saeed; Al Amri, Hussein; Di Mauro, Michele · Ann Thorac Surg · 2011

case_series · Level IV

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Abstract

A technique is described for correction of mitral regurgitation when the posterior leaflet has a reasonable length (approximately 10 mm), but its movements are limited by thickened and short chords. To avoid further retraction when a band or a ring is positioned to force leaflets coaptation, native chords are replaced by artificial chords (leaving 10 mm of extra length), which are then cut. In 6 patients, after 6 months of follow-up, the results are good.

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