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Case Reports
Intermittent tethering of second-order chords after mitral valve repair for bileaflet prolapse.
- Angela L Iacò, Ahmed A Ahmed, Gormallah Al Zaharani, Hussein Al Amri, Michele Di Mauro, and Antonio M Calafiore.
- Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
- Ann. Thorac. Surg. 2013 Dec 1; 96 (6): e145-6.
AbstractMitral 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. Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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