Key result
A 56-year-old male patient with severe mitral regurgitation due to a flail P2 segment was evaluated for mitral valve repair with neo-chordae.
Case Report (n=1)
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Hypothesis-generating for neo-chordae in flail P2; prospective comparative trials needed before adoption.
Clinical vignette A 56-year-old male patient presented with an isolated posterior mitral leaflet (PML) prolapse due to degenerative mitral valve (MV) disease. The preoperative transthoracic echocardiography showed severe mitral regurgitation (MR) due to a flail P2 segment. Echocardiographic examination revealed a normal left ventricular ejection fraction of 67%, the mitral annulus with a diameter of 39 mm and normal right ventricle contractility with a tricuspid annular plane systolic excursion (TAPSE) of 38 mm. The vena contracta was measured to be 0.8 cm and the effective regurgitant orifice area (EROA) was 0.7 cm 2 . The left atrium was
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Merk et al. (2015) conducted a case report in Severe mitral regurgitation (n=1). Mitral valve repair with neo-chordae was evaluated. A 56-year-old male patient with severe mitral regurgitation due to a flail P2 segment was evaluated for mitral valve repair with neo-chordae.
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