title: Different ways to repair the mitral valve with artificial chordae: a systematic review.
abstract: Myxomatous mitral regurgitation (type II Carpentier's functional classification) affects about 1-2% of the population. This represents a very common indication for valve surgery resulting in a low percentage of repairs compared to replacement which is actually performed. In the last decades, several methods for mitral valve repair have been developed, to make the surgical feasibility easier, improve the long-term follow-up thus avoiding the need for reoperations. A very interesting method is represented by the combination of various valve repair techniques, depending on the involvement of the anterior, posterior, or both leaflets, and the use of PTFE artificial chordae tendineae when excessive chordal elongation or rupture due to myxomatous degeneration co-exists. The aim of this review is to summarize the evolution of these techniques from the beginning till now.
authors.affiliation: Cardiac Surgery Unit, Polo Pontino, Heart and Great Vessels Department, University of Rome Sapienza, Latina, Italy. federico.bizzarri@uniroma1.it
authors.forename: Federico
authors.initials: F
authors.lastname: Bizzarri
authors.forename: Antonella
authors.initials: A
authors.lastname: Tudisco
authors.forename: Massimo
authors.initials: M
authors.lastname: Ricci
authors.forename: David
authors.initials: D
authors.lastname: Rose
authors.forename: Giacomo
authors.initials: G
authors.lastname: Frati
mesh_terms: D002815:Chordae Tendineae / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011138:Polytetrafluoroethylene; D013536:Suture Techniques
chemical_list: D011138:Polytetrafluoroethylene