PMID- 21034542
OWN - NLM
STAT- MEDLINE
DCOM- 20110308
LR  - 20161125
IS  - 2542-5641 (Electronic)
IS  - 0366-6999 (Linking)
VI  - 123
IP  - 17
DP  - 2010 Sep
TI  - Edge-to-edge chordal transfer repair for anterior leaflet prolapse of mitral 
      valve in 21 patients.
PG  - 2320-3
AB  - BACKGROUND: Repair of anterior mitral leaflet (AML) prolapse is still a technical 
      challenge for cardiac surgeons. It is an important issue to find a way to repair 
      the AML prolapse with a reliable and reproducible technique. METHODS: Between 
      January 2002 and June 2009, the operation of chordal transfer based on the 
      "edge-to-edge" technique was performed in 21 patients with serious mitral valve 
      regurgitation because of prolapse of the anterior leaflet. After the operation, 
      echocardiography was performed in each patient before discharge and at the time 
      of follow-up. RESULTS: All patients survived the operation. One patient required 
      mitral valve replacement because of anterior leaflet perforation 3 days after the 
      operation. The other patients were free from reoperation. At the time of 
      follow-up, all these patients were in New York Heart Association (NYHA) 
      functional class I. In all these patients, pre-discharge and follow-up 
      echocardiography showed neither stenosis nor significant regurgitation of the 
      mitral valve: the cross-sectional area of the mitral valve was 3.3 - 4.8 cm(2) 
      (mean (3.78 +/- 0.52) cm(2)), the mean regurgitation area was (0.45 +/- 0.22) cm(2). 
      At the same time, both dimension of left atrium and left ventricle reduced 
      significantly (left atrium diameter: pre-operation (48.26 +/- 11.12) mm, 
      post-operation (37.57 +/- 9.56) mm, P < 0.05; the end-diastolic diameter of the 
      left ventricle: pre-operation (61.43 +/- 8.24) mm, post-operation (42.35 +/- 10.79) 
      mm, P < 0.01). CONCLUSION: "Edge-to-edge" chordal transfer technique is a simple, 
      reliable, and reproducible technique that can provide good results for repair of 
      anterior leaflet prolapse of mitral valve.
FAU - Zhang, Jian-qun
AU  - Zhang JQ
AD  - Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing 100029, China.
FAU - Chi, Li-qun
AU  - Chi LQ
FAU - Kong, Qing-yu
AU  - Kong QY
FAU - Zheng, Si-hong
AU  - Zheng SH
FAU - Xiao, Wei
AU  - Xiao W
LA  - eng
PT  - Journal Article
PL  - China
TA  - Chin Med J (Engl)
JT  - Chinese medical journal
JID - 7513795
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Chordae Tendineae/*surgery
MH  - Echocardiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Mitral Valve Prolapse/diagnostic imaging/*surgery
MH  - Suture Techniques
EDAT- 2010/11/03 06:00
MHDA- 2011/03/09 06:00
CRDT- 2010/11/02 06:00
PHST- 2010/11/02 06:00 [entrez]
PHST- 2010/11/03 06:00 [pubmed]
PHST- 2011/03/09 06:00 [medline]
PST - ppublish
SO  - Chin Med J (Engl). 2010 Sep;123(17):2320-3.