Neochordal repair of a double orifice mitral valve.
Native double-orifice mitral valve is an exceedingly rare valvular abnormality. A 77-year-old patient was referred for a severe mitral regurgitation, and a double-orifice mitral valve with a central fibrous bridge was unexpectedly found. A flail anterior leaflet with 2 ruptured chordae was observed on the anterolateral mitral valve orifice, the leaflets on the posterior valve orifice were normally thin. Mitral valve repair was successfully performed with replacement of the 2 torn chordae by two 4/0 expanded polytetrafluoroethylene neochordae. We accordingly suggest that current mitral valve repair techniques remained a valuable option, even on central bridge double-orifice mitral valve regurgitation.
Centre Hospitalier Régional et Universitaire de Lille, Explorations fonctionnelles cardio-vasculaires, Lille, France.
Sylvestre
S
Maréchaux
Francis
F
Juthier
Pierre-Vladimir
PV
Ennezat
Carlo
C
Banfi
André
A
Vincentelli
D000368:Aged; D002815:Chordae Tendineae / Q000473:pathology / Q000601:surgery; D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000002:abnormalities* / Q000601:surgery*; D013536:Suture Techniques