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June 1, 1990Journal of Cardiac Surgery

Preservation of All Chordae Tendineae and Papillary Muscle During Mitral Valve Replacement with a Tilting Disc Valve

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Population

21 patients undergoing mitral valve replacement for calcific and degenerative etiologies

Design

Case_series

Authors

HFHarold L. FeikesUniversity of Nevada, Las VegasJDJames B. DaugharthySunrise Hospital & Medical CenterJPJESSE E. PERRY

Discussion

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Implication

Supports feasibility of full subvalvular preservation in MVR; leaves open LV function benefits versus conventional techniques.

Structured PICO

P
Population
21 patients undergoing mitral valve replacement for calcific and degenerative etiologies
I
Intervention
Mitral valve replacement using a surgical technique that preserves the entire papillary muscle and chordal apparatus by splitting the anterior mitral leaflet and suturing it to the posterior annulus

A surgical technique for mitral valve replacement that preserves the entire subvalvular apparatus can be successfully performed to potentially favor left ventricular function preservation.

Cite This Study

Feikes et al. (1990) studied this question.

synapsesocial.com/papers/6a95d8bf38908a4de3250845https://doi.org/10.1111/j.1540-8191.1990.tb00743.x

Topics

Mitral valve intervention
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Techniques of Modified Mitral Valve Replacement with Preservation of the Posterior Leaflet and Chordae Tendineae1987 · 11 citations
  2. 2A Clinical Evaluation of the Hypothesis that Rupture of the Left Ventricle Following Mitral Valve Replacement Can Be Prevented by Preservation of the Chordae of the Mural Leaflet1985 · 75 citations
  3. 3Valvular-Ventricular Interaction: The Importance of the Mitral Chordae Tendineae in Terms of Global Left Ventricular Systolic Function1988 · 34 citations
  4. 4Importance of the Mitral Complex in Left Ventricular Contraction - an Analysis of the Results of Mitral Valve Replacement with Preservation of the Posterior Mitral Complex1987 · 21 citations
  5. 5Surgical Considerations for Avoiding Disc Interference Based on A Ten-year Experience with the Medtronic Hall Heart Valve1988 · 13 citations