title: [A case of sliding commissuroplasty for the chordal rupture in the paracommissural area].
abstract: A 67-year-old female patient underwent mitral valvuloplasty for mitral regurgitation due to the chordal rupture at the posterior commissure. Sliding commissuroplasty was made to avoid large annular plication. Carpentier's prosthetic ring (30 mm) was sutured to remodel the annulus and to reinforce repair. Postoperative Left ventriculogram revealed no regurgitation. Sliding commissuroplasty is effective for mitral regurgitation due to commissural chordal rupture.
authors.affiliation: Department of Cardiovascular Surgery, Yamanashi Prefectural Hospital.
authors.forename: K
authors.initials: K
authors.lastname: Tsuchiya
authors.forename: M
authors.initials: M
authors.lastname: Yoshikai
authors.forename: H
authors.initials: H
authors.lastname: Ishitoya
authors.forename: H
authors.initials: H
authors.lastname: Sasaki
authors.forename: Y
authors.initials: Y
authors.lastname: Iida
authors.forename: K
authors.initials: K
authors.lastname: Aizawa
mesh_terms: D000368:Aged; D002815:Chordae Tendineae; D005260:Female; D006341:Heart Rupture / Q000150:complications*; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*