Comparison between Track Technique and Conventional Approach for Measuring Artificial Chordae in the Treatment of Anterior Leaflet Prolapse and Flail during Mitral Valve Repair

Autor: Giuseppe Nasso, Giuseppe Santarpino, Raffaele Bonifazi, Flavio Fiore, Gaetano Contegiacomo, Felice Eugenio Agrò, Ignazio Condello, Giacomo Dimita, Francesco Bartolomucci, Khalil Fattouch, Marco Moscarelli, Nicola Di Bari, Giuseppe Speziale
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Reviews in Cardiovascular Medicine, Vol 24, Iss 10, p 301 (2023)
Druh dokumentu: article
ISSN: 1530-6550
DOI: 10.31083/j.rcm2410301
Popis: Background: Measuring the chordae tendineae for mitral valve reconstruction is feasible with various techniques. However, the effect of different strategies on the durability of plastics at follow-up is unknown. The study aims to compare a conventional surgical technique for measuring artificial chordae length with our new approach, defined “track technique”. Methods: We compared the results of patients with anterior leaflet prolapse/flail who underwent mitral valve reconstruction by implanting artificial chordae from January 2020 to January 2022; 22 patients were operated on with a conventional technique, and 25 with our new alternative, “track technique”. Clinical and transesophageal echocardiography data were collected postoperatively and at 2 years of follow-up. The primary outcome was freedom from mitral regurgitation. Secondary outcomes were presentation with New York Heart Association (NYHA) class
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