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

Angela L Iacò; Ahmed A Ahmed; Gormallah Al Zaharani; Hussein Al Amri; Michele Di Mauro; Antonio M Calafiore

doi:10.1016/j.athoracsur.2013.07.092

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

Ann Thorac Surg. 2013 Dec;96(6):e145-6. doi: 10.1016/j.athoracsur.2013.07.092.

Authors

Angela L Iacò¹, Ahmed A Ahmed, Gormallah Al Zaharani, Hussein Al Amri, Michele Di Mauro, Antonio M Calafiore

Affiliation

¹ Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.

PMID: 24296225
DOI: 10.1016/j.athoracsur.2013.07.092

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.

Keywords: 35.

Publication types

Case Reports

MeSH terms

Cardiac Surgical Procedures / methods*
Chordae Tendineae / diagnostic imaging
Chordae Tendineae / surgery*
Echocardiography, Transesophageal
Humans
Male
Middle Aged
Mitral Valve / diagnostic imaging
Mitral Valve / surgery*
Mitral Valve Insufficiency / diagnostic imaging
Mitral Valve Insufficiency / surgery*
Mitral Valve Prolapse / diagnostic imaging
Mitral Valve Prolapse / etiology*
Mitral Valve Prolapse / surgery
Postoperative Complications / diagnostic imaging
Postoperative Complications / surgery*