Chordal replacement with temporary Alfieri stitch for anterior leaflet prolapse.
In mitral valve regurgitation due to anterior leaflet prolapse and other complicated lesions, chordal replacement with expanded polytetrafluoroethylene is widely practiced. The most troublesome aspects of this procedure are the determination of the necessary length of the artificial chorda and the tying of the knot. We describe a simple technique for artificial chordal replacement using an Alfieri stitch, that has been successfully applied to 10 patients with anterior leaflet prolapse.
Department of Cardiovascular Surgery, Yamanashi Central Hospital Yamanashi, Japan. hironobu12jp@yahoo.co.jp
Hironobu
H
Morimoto
Koji
K
Tsuchiya
Masato
M
Nakajima
Yoshitaka
Y
Mitsumori
Kaori
K
Kato
D000328:Adult; D000368:Aged; D002815:Chordae Tendineae / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D008945:Mitral Valve Prolapse / Q000150:complications / Q000601:surgery*; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D012720:Severity of Illness Index; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene