The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 2 , Pages 309-315 , August 2009

Mitral valve hemodynamics after repair of acute posterior leaflet prolapse: Quadrangular resection versus triangular resection versus neochordoplasty

  • Muralidhar Padala, MS

      Affiliations

    • Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga
    • ,
  • Scott N. Powell, BS

      Affiliations

    • Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga
    • ,
  • Laura R. Croft, BS

      Affiliations

    • Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga
    • ,
  • Vinod H. Thourani, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga
    • ,
  • Ajit P. Yoganathan, PhD

      Affiliations

    • Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga
    • Corresponding Author InformationAddress for reprints: Ajit P. Yoganathan, PhD, The Wallace H. Coulter Distinguished Faculty Chair in Biomedical Engineering and Regents Professor, Associate Chair for Research, Wallace H. Coulter School of Biomedical Engineering, Georgia Institute of Technology and Emory University, Room 2119 U. A. Whitaker Building, 313 Ferst Dr, Atlanta, GA 30332-0535.
    • ,
  • David H. Adams, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Mt Sinai School of Medicine, New York, NY

Received 13 May 2008 ,Revised 9 December 2008 ,Accepted 13 January 2009.

References 

  1. Carpentier A. Cardiac valve surgery—the “French correction.”. J Thorac Cardiovasc Surg. 1983;86:323–337
  2. Anyanwu AC, Adams DH. Etiologic classification of degenerative mitral valve disease: Barlow's disease and fibroelastic deficiency. Semin Thorac Cardiovasc Surg. 2007;19:90–96
  3. Fornes P, Heudes D, Fuzellier JF, Tixier D, Bruneval P, Carpentier A. Correlation between clinical and histologic patterns of degenerative mitral valve insufficiency: a histomorphometric study of 130 excised segments. Cardiovasc Pathol. 1999;8:81–92
  4. He S, Fontaine AA, Schwammenthal E, Yoganathan AP, Levine RA. Integrated mechanism for functional mitral regurgitation: leaflet restriction versus coapting force: in vitro studies. Circulation. 1997;96:1826–1834
  5. Jimenez JH, Liou SW, Padala M, He Z, Sacks M, Gorman RC, et al. A saddle-shaped annulus reduces systolic strain on the central region of the mitral valve anterior leaflet. J Thorac Cardiovasc Surg. 2007;134:1562–1568
  6. Seeburger J, Kuntze T, Mohr FW. Gore-Tex chordoplasty in degenerative mitral valve repair. Semin Thorac Cardiovasc Surg. 2007;19:111–115
  7. Gazoni LM, Fedoruk LM, Kern JA, Dent JM, Reece TB, Tribble CG, et al. A simplified approach to degenerative disease: triangular resections of the mitral valve. Ann Thorac Surg. 2007;(83):1658–1664discussion 1664-5
  8. Carpentier A, Deloche A, Dauptain J, Soyer R, Blondeau P, Piwnica A, et al. A new reconstructive operation for correction of mitral and tricuspid insufficiency. J Thorac Cardiovasc Surg. 1971;61:1–13
  9. Magne J, Pibarot P, Dagenais F, Hachicha Z, Dumesnil JG, Sénéchal M. Preoperative posterior leaflet angle accurately predicts outcome after restrictive mitral valve annuloplasty for ischemic mitral regurgitation. Circulation. 2007;115:782–791
  10. Filsoufi F, Carpentier A. Principles of reconstructive surgery in degenerative mitral valve disease. Semin Thorac Cardiovasc Surg. 2007;19:103–110
  11. Gillinov AM. Durability of mitral valve repair for degenerative disease. J Thorac Cardiovasc Surg. 1998;116:734–743
  12. Da Col U, Di Bella I, Bardelli G, Koukoulis G, Ramoni E, Ragni T. Triangular resection and folding of the posterior leaflet for mitral valve repair. J Card Surg. 2006;21:274–276
  13. Salvador L, Mirone S, Bianchini R, Regesta T, Patelli F, Minniti G, et al. A 20-year experience with mitral valve repair with artificial chordae in 608 patients. J Thorac Cardiovasc Surg. 2008;135:1280–1287
  14. Tabata M, Ghanta RK, Shekar PS, Cohn LH. Early and midterm outcomes of folding valvuloplasty without leaflet resection for myxomatous mitral valve disease. Ann Thorac Surg. 2008;86:1388–1390
  15. Dreyfus GD, Corbi P, Rubin S, Aubert S. Posterior leaflet preservation in mitral valve prolapse: a new approach to mitral repair. J Heart Valve Dis. 2006;15:528–530
  16. Perier P, Hohenberger W, Lakew F, Batz G, Urbanski P, Zacher M, et al. Toward a new paradigm for the reconstruction of posterior leaflet prolapse: midterm results of the “respect rather than resect” approach. Ann Thorac Surg. 2008;86:718–725
  17. Flameng W, Meuris B, Herijgers P, Herregods MC. Durability of mitral repair in Barlow disease versus fibroelastic deficiency. J Thorac Cardiovasc Surg. 2008;135:274–282

 Read at the Eighty-eighth Annual Meeting of The American Association for Thoracic Surgery, San Diego, Calif, May 10–14, 2008.

PII: S0022-5223(09)00569-8

doi: 10.1016/j.jtcvs.2009.01.031

The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 2 , Pages 309-315 , August 2009

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