title: Surgical repair of chordae tendineae rupture after degenerative valvular regurgitation using standardized bovine pericardium.
abstract: OBJECTIVE
  To evaluate clinically and by Doppler Echocardiography 22 patients submitted to mitral valve repair after valvular regurgitation using standardized bovine pericardium chordae.
  
  
  METHODS
  The patients had degenerative mitral regurgitation. Fourteen (63.6%) patients were male and the age ranged from 19 to 76 years (mean 56.8 ± 13.8 years). The strings of bovine pericardium treated with glutaraldehyde were reinforced in its transverse ends forming a trapezoid.
  
  
  RESULTS
  One patient (4.5%) died in the immediate postoperative period with in low cardiac output syndrome and three (13.6%) in the late postoperative period. One patient (4.5%) was reoperated. The actuarial curves for survival free of death from cardiovascular causes and free from reoperation for patients who left the hospital (21), showed rates of 82.0 ± 9.8% and 83.9 ± 10.4% at 70 months postoperatively, respectively. Seventeen patients (77.3%) are alive with native valves. Of the 17 patients alive with native valves 16 (94.1%) were in functional class I. The Doppler Echocardiography postoperatively (mean 41 months, 4-70 months), showed no mitral regurgitation in 11 (64.7%) patients and mild regurgitation in five (29.4%).
  
  
  CONCLUSIONS
  The technique of standard cords of bovine pericardium implantation to replace chordae tendineae of the mitral valve in patients with degenerative mitral regurgitation showed satisfactory results.
authors.affiliation: Surgical Clinics at Londrina State University (UEL), Hospital Evangélico de Londrina, Paraná, Brazil.
authors.forename: Francisco
authors.initials: F
authors.lastname: Gregori Júnior
authors.forename: Moacir Fernandes de
authors.initials: MF
authors.lastname: Godoy
authors.forename: Celso Otaviano
authors.initials: CO
authors.lastname: Cordeiro
authors.forename: Alexandre Noboru
authors.initials: AN
authors.lastname: Murakami
authors.forename: Rogerio
authors.initials: R
authors.lastname: Teruya
authors.forename: Sergio Shigueru
authors.initials: SS
authors.lastname: Hayashi
authors.forename: Wallace Kohata de
authors.initials: WK
authors.lastname: Aquino
authors.forename: Luiz Eduardo
authors.initials: LE
authors.lastname: Gallina
mesh_terms: D000328:Adult; D000368:Aged; D001705:Bioprosthesis; D002815:Chordae Tendineae / Q000293:injuries* / Q000601:surgery; D015150:Echocardiography, Doppler; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation*; D011184:Postoperative Period; D012422:Rupture, Spontaneous / Q000601:surgery; D015996:Survival Rate; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult