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Published byVivian Fitzgerald Modified over 6 years ago
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Repair of anterior leaflet mitral valve prolapse: chordal replacement versus chordal shortening
Michael R Phillips, MD, Richard C Daly, MD, Hartzell V Schaff, MD, Joseph A Dearani, MD, Charles J Mullany, MB, MS, Thomas A Orszulak, MD The Annals of Thoracic Surgery Volume 69, Issue 1, Pages (January 2000) DOI: /S (99)
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Fig 1 Distribution of anterior leaflet repairs. A total of 975 mitral valve repairs were performed during the study period, and 334 (34%) involved repair of the anterior leaflet. The Annals of Thoracic Surgery , 25-29DOI: ( /S (99) )
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Fig 2 Illustration of chordal replacement with a pledgeted expanded polytetrafluoroethylene (ePTFE) suture to the free margin of the anterior leaflet (AML). The Annals of Thoracic Surgery , 25-29DOI: ( /S (99) )
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Fig 3 (A) Cumulative risks of reoperation caused by mitral valve regurgitation from all causes. (B) Cumulative risks of reoperation caused by failure of the initial anterior leaflet repair. At 3.5 years, risk of reoperation is 1.4% after chordal replacement and 14.8% after chordal shortening (p = 0.025). The Annals of Thoracic Surgery , 25-29DOI: ( /S (99) )
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