title: Intermittent tethering of second-order chords after mitral valve repair for bileaflet prolapse.
abstract: Mitral valve regurgitation which occurs immediately after repair can be due to anatomic (failure of repair) or functional (systolic anterior motion) reasons. We report a case where a patient with bileaflet prolapse showed, after surgical correction of the disease, moderate to severe regurgitation after cardiopulmonary bypass was stopped. The regurgitation was due to second-order tethering and was successfully treated with second-order chordal cutting.
authors.affiliation: Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
authors.forename: Angela L
authors.initials: AL
authors.lastname: Iacò
authors.forename: Ahmed A
authors.initials: AA
authors.lastname: Ahmed
authors.forename: Gormallah
authors.initials: G
authors.lastname: Al Zaharani
authors.forename: Hussein
authors.initials: H
authors.lastname: Al Amri
authors.forename: Michele
authors.initials: M
authors.lastname: Di Mauro
authors.forename: Antonio M
authors.initials: AM
authors.lastname: Calafiore
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002815:Chordae Tendineae / Q000000981:diagnostic imaging / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: 35