Intermittent tethering of second-order chords after mitral valve repair for bileaflet prolapse.

Iacò, Angela L; Ahmed, Ahmed A; Al Zaharani, Gormallah; Al Amri, Hussein; Di Mauro, Michele; Calafiore, Antonio M · Ann Thorac Surg · 2013

case_report · Level V

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Abstract

Mitral valve regurgitation which occurs immediately after repair can be due to anatomic (failure of repair) or functional (systolic anterior motion) reasons. We report a case where a patient with bileaflet prolapse showed, after surgical correction of the disease, moderate to severe regurgitation after cardiopulmonary bypass was stopped. The regurgitation was due to second-order tethering and was successfully treated with second-order chordal cutting.

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