PMID- 36335612
OWN - NLM
STAT- MEDLINE
DCOM- 20230105
LR  - 20230111
IS  - 1540-8191 (Electronic)
IS  - 0886-0440 (Linking)
VI  - 37
IP  - 12
DP  - 2022 Dec
TI  - A new technique to adjust the length of artificial chordae during mitral anterior 
      leaflet repair.
PG  - 4517-4523
LID - 10.1111/jocs.17108 [doi]
AB  - BACKGROUND: Length measurement of artificial chordae remains a critical step 
      during mitral valve repair (MVr). The aim of this study is to assess the 
      effectiveness of a new length measuring technique. METHODS: All consecutive 
      patients with anterior leaflet prolapse/flail who underwent MVr using the 
      described method between January 2020 and January 2022 at our institution were 
      included in the analysis. Clinical and transesophageal echocardiography data were 
      collected postoperatively and at 1-year follow-up. The primary outcome was 
      freedom from mitral regurgitation (MR). Secondary outcomes were presentation with 
      New York Heart Association (NYHA) class <2 and leaflet coaptation length >/=10 mm. 
      RESULTS: Of 25 patients, 16 (64%) were males. A total of 15 (60%) had isolated 
      anterior leaflet disease, while 10 (40%) had concomitant posterior involvement. 
      Twenty patients with isolated MR (80%) underwent right anterior mini-thoracotomy, 
      while 5 (20%) with associated valvular or coronary disease underwent sternotomy. 
      The median number of chordae implanted was 2 [1-4]. Postrepair intraoperative MR 
      grade was 0 in 23 patients (92%) and 1 in 2 (8%). Thirty-day mortality was 0%. De 
      novo atrial fibrillation was 20%. At follow-up, mortality was 0%. No patients 
      presented with moderate or severe MR. A total of 22 patients (88%) were in NYHA 
      class I, while 3 (12%) in class II. The coaptation length was 11 +/- 1 mm. 
      CONCLUSIONS: The short-term outcomes of the described technique are good with 
      adequate leaflet coaptation in all treated patients. Long-term results are needed 
      to assess the stability and durability of this repair technique.
CI  - (c) 2022 Wiley Periodicals LLC.
FAU - Nasso, Giuseppe
AU  - Nasso G
AD  - Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Bari, 
      Italy.
FAU - Di Bari, Nicola
AU  - Di Bari N
AUID- ORCID: 0000-0003-3606-2118
AD  - Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Bari, 
      Italy.
FAU - Bonifazi, Raffaele
AU  - Bonifazi R
AD  - Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Bari, 
      Italy.
FAU - Santarpino, Giuseppe
AU  - Santarpino G
AUID- ORCID: 0000-0002-4913-9834
AD  - Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Bari, 
      Italy.
FAU - Moscarelli, Marco
AU  - Moscarelli M
AUID- ORCID: 0000-0002-8373-8486
AD  - Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Bari, 
      Italy.
FAU - Condello, Ignazio
AU  - Condello I
AUID- ORCID: 0000-0003-1192-1908
AD  - Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Bari, 
      Italy.
FAU - Soletti, Giovanni Jr
AU  - Soletti GJ
AUID- ORCID: 0000-0002-8691-5951
AD  - Department of Cardiothoracic Surgery, Weill Cornell Medical College, New York, 
      USA.
FAU - Mick, Stephanie
AU  - Mick S
AD  - Department of Cardiothoracic Surgery, Weill Cornell Medical College, New York, 
      USA.
FAU - Agro, Felice
AU  - Agro F
AD  - Department of Anaesthesiology, Campus Bio-Medico University Hospital of Rome, 
      Rome, Italy.
FAU - Paparella, Domenico
AU  - Paparella D
AUID- ORCID: 0000-0003-2261-7098
AD  - Department of Cardiovascular Surgery, GVM Care & Research, Santa Maria Hospital, 
      Bari, Italy.
FAU - Gaudino, Mario
AU  - Gaudino M
AUID- ORCID: 0000-0003-4680-0815
AD  - Department of Cardiothoracic Surgery, Weill Cornell Medical College, New York, 
      USA.
FAU - Speziale, Giuseppe
AU  - Speziale G
AD  - Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Bari, 
      Italy.
LA  - eng
PT  - Journal Article
DEP - 20221106
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
CIN - J Card Surg. 2022 Dec;37(12):4524-4525. PMID: 36335607
MH  - Male
MH  - Humans
MH  - Female
MH  - *Mitral Valve Prolapse/diagnostic imaging/surgery
MH  - Mitral Valve/diagnostic imaging/surgery
MH  - Treatment Outcome
MH  - Chordae Tendineae/diagnostic imaging/surgery
MH  - *Mitral Valve Insufficiency/diagnostic imaging/surgery
MH  - *Mitral Valve Annuloplasty/methods
OTO - NOTNLM
OT  - artificial chordae
OT  - length measurement
OT  - mitral valve repair
EDAT- 2022/11/07 06:00
MHDA- 2023/01/06 06:00
CRDT- 2022/11/06 16:54
PHST- 2022/09/02 00:00 [received]
PHST- 2022/09/17 00:00 [accepted]
PHST- 2022/11/07 06:00 [pubmed]
PHST- 2023/01/06 06:00 [medline]
PHST- 2022/11/06 16:54 [entrez]
AID - 10.1111/jocs.17108 [doi]
PST - ppublish
SO  - J Card Surg. 2022 Dec;37(12):4517-4523. doi: 10.1111/jocs.17108. Epub 2022 Nov 6.