PMID- 24360108 OWN - NLM STAT- MEDLINE DCOM- 20140721 LR - 20131223 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 93 IP - 34 DP - 2013 Sep 10 TI - [Early and midterm outcomes of artificial chordae transplant in mitral valve repair]. PG - 2730-2 AB - OBJECTIVE: To summarize the early and midterm outcomes of artificial chordae transplant in mitral valve repair. METHODS: A total of 50 patients underwent mitral valve repair with artificial chordae transplant from January 2009 to January 2010 in General Hospital of Shenyang Military Command. Follow-up was conducted on 48 cases (96%) for 3-4 years. RESULTS: No early postoperative mortality occurred. All cases had cardiac function New York Heart Association (NYHA) grade I/II at discharge. Among 48 cases, one died of cerebral infarction after 13 months and the reminder survived and no one underwent reoperation. Among survivors, 45 cases were in cardiac function NYHA grade I and another 2 in grade II. Echocardiography showed that postoperative 3 years left atrial diameter, left ventricular end-diastolic dimension, left ventricular end-systolic dimension and the ratio of regurgitation beam area and left atrial area were significantly smaller than those preoperative ones (39.5% +/- 9.7% vs 5.6% +/- 0.1%, P < 0.01) and left ventricular ejection fraction increased markedly (0.55 +/- 0.06 vs 0.67 +/- 0.07, P < 0.01). There was no instance of artificial chordae rupture. CONCLUSION: Gore-Tex artificial chordae transplant is a safe and effective technique in mitral valve repair with excellent early and midterm operative outcomes. FAU - Han, Jin-song AU - Han JS AD - Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China. FAU - Wang, Hui-shan AU - Wang HS AD - Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China. Email: huishanwang@hotmail.com. FAU - Yin, Zong-tao AU - Yin ZT AD - Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China. FAU - Han, Hong-guang AU - Han HG AD - Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China. LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 SB - IM MH - Aged MH - Chordae Tendineae/*transplantation MH - Female MH - *Heart Valve Prosthesis MH - Heart Valve Prosthesis Implantation/instrumentation/*methods MH - Humans MH - Male MH - Middle Aged MH - Mitral Valve MH - Mitral Valve Insufficiency/*surgery MH - Treatment Outcome EDAT- 2013/12/24 06:00 MHDA- 2014/07/22 06:00 CRDT- 2013/12/24 06:00 PHST- 2013/12/24 06:00 [entrez] PHST- 2013/12/24 06:00 [pubmed] PHST- 2014/07/22 06:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2013 Sep 10;93(34):2730-2.