• Hermann Blessberger, Joerg Kellermair, Juergen Kammler, Clemens Steinwender, and Andreas F Zierer.
• Department of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University, Linz.
• Medicine (Baltimore). 2021 May 28; 100 (21): e26148e26148.

RationaleRedo surgeries after mitral valve repair are technically demanding. Procedures applying the NeoChord device (NeoChord Inc, St. Louis Park, MN) have proven to be safe and feasible in selected patients requiring mitral valve repair due to a leaflet prolapse or flail. However, its use for redo procedures after conventional surgical repair has not been well established yet.Patient ConcernsWe report the case of a 57-year-old man who presented with dyspnea upon exertion. The patient had undergone a minimally invasive surgical mitral valve repair because of a flail leaflet of the segments segment 2 of the posterior mitral valve leaflet (P2)/segment 3 of the posterior mitral valve leaflet (P3) 4 years before.DiagnosesTransesophageal echocardiography identified a relapse of severe mitral valve regurgitation. The recurring regurgitant jet was caused by a flail leaflet due to newly ruptured native chords.InterventionsAfter discussion in an interdisciplinary heart team, we performed a minimally invasive off-pump redo procedure applying the NeoChord device under three-dimensional transesophageal echocardiographic guidance.OutcomesThe echocardiographic result with only trivial residual mitral regurgitation as well as the further clinical course of the patient were favorable.LessonsAs redo surgery after minimally invasive mitral valve repair is challenging, the NeoChord device represents a novel treatment option that does not require cardiopulmonary bypass.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

22 keywords...

hide…