Importance of preservation of chordal apparatus in mitral valve replacement.
Mitral valve replacement often involves disruption of the chordal apparatus with disturbance of the annulo-papillary continuity. This results in significant downgrading of ventricular function. Analyzes various reports to accurately assess the advantages of chordal preservation. This review briefly briefly reviews the surgical techniques. The advantages of chordal preservation are analyzed, with particular emphasis on the technical difficulties and potential complications involved.
Solomon
Neville A G
NA
Department of Cardiothoracic Surgery, Apollo Hospital, Chennai-600006, India. nev_sheeba@yahoo.com
Pranav
S K
SK
Naik
Dhaval
D
Sukumaran
Shiju
S
D000818:Animals; D001705:Bioprosthesis; D002815:Chordae Tendineae / Q000033:anatomy & histology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000033:anatomy & histology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000503:physiopathology / Q000601:surgery; D008946:Mitral Valve Stenosis / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control; D012086:Reoperation; D013318:Stroke Volume; D018487:Ventricular Dysfunction, Left / Q000517:prevention & control; D016277:Ventricular Function, Left / Q000502:physiology