[Long-term results of mitral valve repair with artificial chordae tendineae].
The long-term results of mitral valve repair using artificial polytetrafluorethylene (PTFE) chordae were assessed in 61 consecutive patients with pure mitral regurgitation who underwent mitral valve repair with replacement of elongated or ruptured chordae tendineae between 1992 and 1996. There were 36 men and 25 women aged from 14 to 73 years (mean 52.1 +/- 13.8 years). The patients were followed up for between 1 to 73 months (mean 29.3 +/- 17.6 months). Fifty-five patients underwent mitral valve repair of the anterior leaflet and 6 repair of the posterior leaflet. There were two hospital and two late deaths. Actual survival rate at 5 years was 93.1%. Freedom from cardiac events at 5 years was 87.8%. Two patients required reoperation due to hemolysis. There were three occurrences of non-fatal thromboembolism. Although further investigation is necessary in a large population, expanded PTFE sutures are excellent for chordal replacement during mitral valve repair.
Iwai
M
M
Division of Cardiology, Kobe General Hospital.
Yoshida
K
K
Hozumi
T
T
Akasaka
T
T
Takagi
T
T
Yamaura
Y
Y
Ogata
Y
Y
Okada
Y
Y
Shomura
T
T
Morioka
S
S
Yoshikawa
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D001672:Biocompatible Materials; D006348:Cardiac Surgical Procedures; D002815:Chordae Tendineae; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000401:mortality / Q000601:surgery; D011138:Polytetrafluoroethylene; D011379:Prognosis; D019651:Plastic Surgery Procedures
D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene