Repair of bileaflet prolapse in Barlow syndrome: The 4-chord technique.
Barlow
mitral valve repair
myxomatous mitral valve
neochordae
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
15
03
2019
revised:
17
04
2019
accepted:
19
04
2019
pubmed:
19
5
2019
medline:
23
1
2020
entrez:
19
5
2019
Statut:
ppublish
Résumé
Barlow syndrome is a form of degenerative mitral valve (MV) disease found in a subset of patients with bileaflet prolapse. The hallmark of Barlow's disease includes excessive and billowing leaflet tissue caused by myxomatous tissue proliferation, elongated chordae, and pronounced annular dilatation. Surgical repair of patients with Barlow's disease is challenging due to the extent of the leaflet and annular abnormalities. Several techniques have been described to repair Barlow's MV including currently popular "non-resectional" approaches. Repair with neochordae has been associated with excellent results and includes the advantage of preserved leaflet mobility and a large surface of coaptation. We describe a simple approach to the use of neochordae to repair bileaflet prolapse in patients with Barlow syndrome and avoid systolic anterior motion.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
605-609Informations de copyright
© 2019 Wiley Periodicals, Inc.