Key result
Chordal replacement with artificial expanded polytetrafluoroethylene sutures is recommended as a reliable technique for repairing anterior mitral leaflet prolapse, especially in minimally invasive surgery.
Why the study?
What are the optimal surgical techniques for the repair of anterior mitral leaflet prolapse?
What are the optimal surgical techniques for the repair of anterior mitral leaflet prolapse?
This review highlights chordal replacement with premeasured PTFE loops as a preferred technique for anterior mitral leaflet prolapse repair, especially in minimally invasive surgery.
Answers are grounded in this paper and cite their sources.
Guides technique selection in minimally invasive mitral repair; leaves open need for randomized durability data versus percutaneous options.
Repair of anterior mitral leaflet prolapse is one of the most challenging aspects in mitral valve repair surgery. In this review, we discuss the various techniques developed over the past three to four decades for the repair of anterior mitral leaflet prolapse, debate the pros and cons of each and compare their results, keeping reoperation for recurrent mitral regurgitation as the focal point of follow-up. At our center, chordal replacement with artificial expanded polytetrafluoroethylene sutures in the form of premeasured loops is the most commonly used technique for repair of anterior mitral leaflet prolapse for the past decade. We recommend and provide justification for the use of this technique, especially when mitral valve repair is performed through a minimally invasive approach. We believe that the trend towards a minimally invasive approach for mitral valve repair will exponentially increase in the next 5-10 years, at least until percutaneous techniques, if at all, become more reliable and safe.
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Pfannmüller et al. (2013) conducted a review in Anterior mitral leaflet prolapse. Chordal replacement with artificial expanded polytetrafluoroethylene sutures vs. Various other repair techniques was evaluated on Reoperation for recurrent mitral regurgitation. Chordal replacement with artificial expanded polytetrafluoroethylene sutures is recommended as a reliable technique for repairing anterior mitral leaflet prolapse, especially in minimally invasive surgery.
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