Presentation is loading. Please wait.

Presentation is loading. Please wait.

Feasibility and Intermediate Term Outcome of Repair of Prolapsing Anterior Mitral Leaflets With Artificial Chordal Replacement in 152 Patients  Gerald.

Published byDoddy Lesmana Modified over 5 years ago

Similar presentations

Presentation on theme: "Feasibility and Intermediate Term Outcome of Repair of Prolapsing Anterior Mitral Leaflets With Artificial Chordal Replacement in 152 Patients  Gerald."— Presentation transcript:

1 Feasibility and Intermediate Term Outcome of Repair of Prolapsing Anterior Mitral Leaflets With Artificial Chordal Replacement in 152 Patients  Gerald M. Lawrie, MD, Elizabeth A. Earle, JD, Nan R. Earle, MS  The Annals of Thoracic Surgery  Volume 81, Issue 3, Pages (March 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Details of the surgical technique employed. (A) Number 5 PTFE suture is passed through the basal portion of the papillary muscle in figure of 8 fashion. (B) Each needle is passed through the edge of the leaflet twice, in a rolling fashion towards the center of each pair. The needle can be seen completing this for the medial pair of chordae. (C) Dots are placed to mark the desired final line of leaflet apposition using a marker pen (top). Note also the four annular 2-0 polypropylene stay stitches. (D) The left ventricle is inflated with saline and the chordal length is adjusted. (E) The annular stay stitches are used to simulate the correct annular size during further insufflation and chordal adjustment. (F) The chordae are tied down and the flexible annuloplasty ring is attached with a continuous 2-0 polypropylene suture. The dots and polytetrafluoroethylene knots are now buried in the line of leaflet position. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Results of Kaplan-Meier analysis of the influence of the leaflet repaired or nonleaflet repair on the need for reoperation after mitral valve repair. (— = anterior; · = both; – – – = posterior; ····· = neither.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig. 3 Results of Kaplan-Meier analysis of the influence of leaflet pathology on need for reoperation after mitral valve repair. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Results of Kaplan-Meier analysis of the influence of the leaflet repaired or nonleaflet repair on patient survival. (— = anterior; · = both; – – – = posterior; ····· = neither.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Results of Kaplan-Meier analysis of the influence on patient survival of coronary artery disease (CAD) and whether or not concomitant coronary bypass (CAB) was performed. (– – – = no CAD; — = CAD plus CAB; · = CAD no CAB.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Results of Kaplan Meier analysis of the influence the leaflet repair or no leaflet repair on overall rates of stroke. (— = anterior; – – – = both; -·-·= posterior; ···· = neither.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Comparison of the status of the patients at most recent echocardiographic study according to their echocardiographic status at the time of hospital discharge. (Black bar = none/mild, 102; grey bar = moderate, 23; white bar = severe, 10; p = ) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Feasibility and Intermediate Term Outcome of Repair of Prolapsing Anterior Mitral Leaflets With Artificial Chordal Replacement in 152 Patients  Gerald."

Similar presentations

Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease  Srikrishna Sirivella, MD, Isaac Gielchinsky,

Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease  Srikrishna Sirivella, MD, Isaac Gielchinsky,
Leo M. Gazoni, MD, Lynn M. Fedoruk, MD, John A. Kern, MD, John M

Leo M. Gazoni, MD, Lynn M. Fedoruk, MD, John A. Kern, MD, John M
Novel knot-tying technique for mitral valve repair

Novel knot-tying technique for mitral valve repair
Extending the Scope of Mitral Valve Repair in Rheumatic Disease

Extending the Scope of Mitral Valve Repair in Rheumatic Disease
Papillary muscle–to–anterior annulus stitches: Another technique to prevent systolic anterior motion after mitral valve repair  Samer Kassem, MD, Hicham.

Papillary muscle–to–anterior annulus stitches: Another technique to prevent systolic anterior motion after mitral valve repair  Samer Kassem, MD, Hicham.
Neonatal Mitral and Tricuspid Valve Repair for In Utero Papillary Muscle Rupture  Petros V. Anagnostopoulos, MD, Nelson Alphonso, MD, Lars Nölke, MD, Lisa.

Neonatal Mitral and Tricuspid Valve Repair for In Utero Papillary Muscle Rupture  Petros V. Anagnostopoulos, MD, Nelson Alphonso, MD, Lars Nölke, MD, Lisa.
Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability?  Tirone E. David, MD, Susan Armstrong, MS,

Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability?  Tirone E. David, MD, Susan Armstrong, MS,
Is the Anterior Intertrigonal Distance Increased in Patients With Mitral Regurgitation Due to Leaflet Prolapse?  Rakesh M. Suri, MD, DPhil, Jasmine Grewal,

Is the Anterior Intertrigonal Distance Increased in Patients With Mitral Regurgitation Due to Leaflet Prolapse?  Rakesh M. Suri, MD, DPhil, Jasmine Grewal,
Surgical Ventricular Restoration: Is There Any Difference in Outcome Between Anterior and Posterior Remodeling?  Andrea Garatti, MD, Serenella Castelvecchio,

Surgical Ventricular Restoration: Is There Any Difference in Outcome Between Anterior and Posterior Remodeling?  Andrea Garatti, MD, Serenella Castelvecchio,
Premeasured Chordal Loops for Mitral Valve Repair

Premeasured Chordal Loops for Mitral Valve Repair
Free Edge Suture Plication and Remodeling: A Technique for Anterior Mitral Leaflet Prolapse Repair  Pino Fundarò, MD, Daniel G Di Mattia, MD, Maurizio.

Free Edge Suture Plication and Remodeling: A Technique for Anterior Mitral Leaflet Prolapse Repair  Pino Fundarò, MD, Daniel G Di Mattia, MD, Maurizio.
Repair of anterior leaflet mitral valve prolapse: chordal replacement versus chordal shortening  Michael R Phillips, MD, Richard C Daly, MD, Hartzell.

Repair of anterior leaflet mitral valve prolapse: chordal replacement versus chordal shortening  Michael R Phillips, MD, Richard C Daly, MD, Hartzell.
Antonio M. Calafiore, MD  The Annals of Thoracic Surgery 

Antonio M. Calafiore, MD  The Annals of Thoracic Surgery 
Operative Results and Outcomes in Children With Shone's Anomaly

Operative Results and Outcomes in Children With Shone's Anomaly
Does Prior Coronary Bypass Surgery Present a Unique Risk for Reoperative Valve Surgery?  Andrew Breglio, BS, Anelechi Anyanwu, MD, Shinobu Itagaki, MD,

Does Prior Coronary Bypass Surgery Present a Unique Risk for Reoperative Valve Surgery?  Andrew Breglio, BS, Anelechi Anyanwu, MD, Shinobu Itagaki, MD,
Chronic Atrial Fibrillation Is Associated With Reduced Survival After Aortic and Double Valve Replacement  Richard Schulenberg, MD, Polychronis Antonitsis,

Chronic Atrial Fibrillation Is Associated With Reduced Survival After Aortic and Double Valve Replacement  Richard Schulenberg, MD, Polychronis Antonitsis,
Measured Tube Technique for Ensuring the Correct Length of Slippery Artificial Chordae in Mitral Valvuloplasty  Yoshiro Matsui, MD, Suguru Kubota, MD,

Measured Tube Technique for Ensuring the Correct Length of Slippery Artificial Chordae in Mitral Valvuloplasty  Yoshiro Matsui, MD, Suguru Kubota, MD,
Long-Term Outcomes of the Mosaic Bioprosthesis

Long-Term Outcomes of the Mosaic Bioprosthesis
Simple and Easy Method for Chordal Reconstruction During Mitral Valve Repair  Yasuhiro Shudo, MD, Kazuhiro Taniguchi, PhD, Toshiki Takahashi, PhD, Hajime.

Simple and Easy Method for Chordal Reconstruction During Mitral Valve Repair  Yasuhiro Shudo, MD, Kazuhiro Taniguchi, PhD, Toshiki Takahashi, PhD, Hajime.
A Device for Ensuring the Neochordae Replacement in Mitral Valve Repair  Hiroshi Iida, MD, PhD, Toru Sunazawa, MD, Atsuo Doi, MD, Keiichi Ishida, MD, PhD,

A Device for Ensuring the Neochordae Replacement in Mitral Valve Repair  Hiroshi Iida, MD, PhD, Toru Sunazawa, MD, Atsuo Doi, MD, Keiichi Ishida, MD, PhD,

Similar presentations

Ads by Google