“Adjustable” Artificial Chordal Replacement for Repair of Mitral Valve Prolapse

Outcomes of Mitral Valve Repair: Quadrangular Resection versus Chordal Replacement

“…In other series, only a small portion of patients (3.8%) who underwent CR showed moderate MR at follow-up [20]. In the present series, 2 of 31 patients (6.5%) who underwent QR showed moderate to severe MR and 3 of 26 patients (12%) who had CR showed moderate to severe MR. Our results showed a slightly higher recurrence rate of moderate to severe MR than other studies.…”

Chordal Reconstruction versus Leaflet Resection for Repair of Degenerative Posterior Mitral Leaflet Prolapse

“…6) Cases with complex lesions which may not always be amenable to leaflet resection alone may undergo neochordal repair with good results. 7) This study aims to review the results of MV repair for isolated PML prolapse due to degenerative disease at a tertiary referral centre over a 15 year period, comparing the safety, durability and functional outcomes of chordal reconstruction and leaflet resection techniques.…”

Three-Dimensional Transesophageal Echocardiography in Degenerative Mitral Regurgitation

“…Usually after ring placement, the chords (already fixed to papillary muscles) are woven into leaflets and individually ''adjusted'' to the most effective length. 23 Recently Huang et al 24 described a 3D transesophageal echocardiographic method that can ''predict'' the length of artificial chordae preoperatively with the heart beating rather than arrested. The authors measured the distance from the expected coaptation line of the prolapsing leaflet to the nearest tip of papillary muscle in systole using quantitative software.…”