2008
DOI: 10.1016/j.jtcvs.2008.07.028
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How does the use of polytetrafluoroethylene neochordae for posterior mitral valve prolapse (loop technique) compare with leaflet resection? A prospective randomized trial

Abstract: Both repair techniques for posterior mitral leaflet prolapse are associated with excellent results and appear comparable in the early postoperative course. The loop technique, however, results in a significantly longer line of leaflet coaptation and may therefore be more durable. Longer follow-up is required.

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Cited by 177 publications
(133 citation statements)
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“…The success rate of MV repair in this series (98.5%) is comparable to other studies involving patients with isolated PML prolapse, with success rates ranging from 97% to 100%. 15,16) There were no operative mortalities within this series, consistent with the very low operative mortality rates ranging from 0.07%-2.9% associated with patients undergoing MV repair for isolated PML prolapse. 13,[15][16][17] A prosthetic mitral annuloplasty ring was implanted in 96.5% of patients in this series.…”
Section: Discussionsupporting
confidence: 70%
“…The success rate of MV repair in this series (98.5%) is comparable to other studies involving patients with isolated PML prolapse, with success rates ranging from 97% to 100%. 15,16) There were no operative mortalities within this series, consistent with the very low operative mortality rates ranging from 0.07%-2.9% associated with patients undergoing MV repair for isolated PML prolapse. 13,[15][16][17] A prosthetic mitral annuloplasty ring was implanted in 96.5% of patients in this series.…”
Section: Discussionsupporting
confidence: 70%
“…Несмотря на хорошие отдаленные результаты про-тезирования, остается открытой проблема выбора опти-мальной длины искусственной хорды [44,48].…”
Section: резекционные и нерезекционные технологии реконструкции мкunclassified
“…Moreover, this approach could limit or avoid leaflet resection in extensive posterior mitral valve prolapse, which could be unamenable to conventional resecting repair strategies. In a recent randomized controlled trial, the use of loop neo-chords for correcting posterior mitral valve prolapse resulted in similar clinical and echocardiographic outcomes, but greater line of coaptation, as compared to conventional leaflet resection techniques (16). Until recently, replacement of chords has required open-heart surgery with bypass to stop the heart during the procedure (17).…”
Section: Editorialmentioning
confidence: 99%