Key result
Mitral valve repair with artificial chordae can lead to early failure and recurrent prolapse due to ventricular remodeling and decreased ventricular size, as demonstrated in 2 patients.
Why the study?
When artificial chordae are used for mitral valve repair, ventricular remodeling can cause recurrent prolapse and valve dysfunction, which this report aims to highlight.
Case Report (n=2)
Ventricular remodeling after mitral valve repair with artificial chordae can lead to recurrent prolapse and early valve dysfunction.
Answers are grounded in this paper and cite their sources.
May warrant pre-repair remodeling assessment with artificial chordae; case report leaves open durability questions in broader populations.
Severe recurrent mitral regurgitation (MR) within 1 year of mitral valve repair is usually attributed to a technical issue with the original repair procedure. However, when artificial chordae are employed to correct mitral valve prolapse, ventricular remodeling (i.e. decreased ventricular size) can lead to recurrent prolapse and valve dysfunction. To highlight this phenomena, we present 2 patients who experienced early failure after undergoing mitral valve repair with artificial chordae.
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Moore et al. (2020) conducted a case report in Mitral valve prolapse and recurrent mitral regurgitation (n=2). Mitral valve repair with artificial chordae was evaluated on Early failure (recurrent prolapse and valve dysfunction). Mitral valve repair with artificial chordae can lead to early failure and recurrent prolapse due to ventricular remodeling and decreased ventricular size, as demonstrated in 2 patients.
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