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[Valvuloplasty for acute mitral insufficiency caused by torn chordae (Carpentier method): report of a case]
1First Department of Surgery, Yamaguchi University School of Medicine.
Insights
This study details a successful surgical repair for acute heart failure caused by torn mitral valve chordae. The patient recovered well after mitral valve repair using McGoon
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Disease
- Mitral Valve Repair
Background:
- Acute heart failure (NYHA III) in a 66-year-old female.
- Diagnosis of mitral regurgitation (MR) and tricuspid regurgitation (Tr).
Observation:
- Torn chordae tendineae of the posterior mitral valve leaflet identified as the cause of MR.
- Surgical intervention involved resection and suture of the prolapsed leaflet (McGoon's method).
- Mitral valvuloplasty was performed using a Carpentier ring.
Findings:
- Uneventful postoperative course with excellent patient recovery.
- Histological examination revealed myxomatous degeneration of the mitral valve.
Implications:
- Demonstrates the efficacy of surgical mitral valve repair for acute heart failure due to chordal rupture.
- Highlights the importance of valve repair techniques in managing complex mitral valve pathologies.
- Suggests myxomatous degeneration as a potential underlying cause for chordal rupture.
Abstract:
A 66-year-old female was admitted to our hospital with acute heart failure (NYHA III), and diagnosed as an MR + Tr. The cause of MR was torn chordae of the posterior leaflet of the mitral valve. A prolapse part of the posterior leaflet was resected and sutured by McGoon's method. Valvuloplasty was performed by using a Carpentier ring. Postoperative course was uneventful. She recovered well after the operation. Histological examination of the valve showed myxomatous degeneration.