title: Posterior chordal cutting in rheumatic mitral regurgitation due to hypomobility of the posterior leaflet.
abstract: A technique is described for correction of mitral regurgitation when the posterior leaflet has a reasonable length (approximately 10 mm), but its movements are limited by thickened and short chords. To avoid further retraction when a band or a ring is positioned to force leaflets coaptation, native chords are replaced by artificial chords (leaving 10 mm of extra length), which are then cut. In 6 patients, after 6 months of follow-up, the results are good.
authors.affiliation: Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia. am.calafiore@gmail.com
authors.forename: Antonio Maria
authors.initials: AM
authors.lastname: Calafiore
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Farah
authors.forename: Angela Lorena
authors.initials: AL
authors.lastname: Iaco
authors.forename: Saeed
authors.initials: S
authors.lastname: Al Ahmari
authors.forename: Hussein
authors.initials: H
authors.lastname: Al Amri
authors.forename: Michele
authors.initials: M
authors.lastname: Di Mauro
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002815:Chordae Tendineae / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D009200:Myocardial Contraction / Q000502:physiology*; D012214:Rheumatic Heart Disease / Q000150:complications* / Q000175:diagnosis; D016896:Treatment Outcome; D055815:Young Adult