Related Experiment Video

Updated: Apr 26, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

2.9K

Nine years' experience with the chordal cutting technique in ischemic mitral regurgitation

Uberto Da Col1, Davide Di Lazzaro, Alessandro Affronti

  • 1S.C. Cardiochirurgia, Ospedale S. Maria della Misericordia, Azienda Ospedaliera di Perugia, Perugia, Italy.

Journal of Cardiac Surgery
|July 22, 2014
PubMed

Insights

Chordal cutting with complete annuloplasty offers a promising surgical option for chronic ischemic mitral regurgitation. This technique effectively manages mitral valve disease, with most patients experiencing only mild residual regurgitation post-surgery.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery
  • Mitral Valve Disease

Background:

  • Chronic ischemic mitral regurgitation (CIMR) management remains challenging.
  • Surgical approaches for CIMR vary, with no universally accepted optimal strategy.
  • Our institution favors chordal excision and complete annuloplasty for CIMR.

Purpose of the Study:

  • To evaluate the efficacy of chordal cutting combined with complete annuloplasty in treating chronic ischemic mitral regurgitation.
  • To assess the safety and outcomes of this specific surgical technique.

Main Methods:

  • A retrospective analysis of 11 patients who underwent surgery for CIMR between October 2004 and May 2013.
  • The surgical procedure involved excision of strut chordae and complete annuloplasty.
  • Patient outcomes and follow-up data were meticulously recorded.

Main Results:

  • No perioperative deaths occurred in the study cohort.
  • One late death occurred three years post-operation due to respiratory failure.
  • One patient required a ventricular assist device; all other patients had trivial-to-mild residual regurgitation.

Conclusions:

  • Chordal cutting coupled with complete annuloplasty demonstrates potential as a viable surgical option for CIMR.
  • The technique appears safe and effective in managing this complex cardiac condition.
  • Further research may validate this approach for broader clinical application.
Abstract

More Related Videos

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

3.7K
An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat07:42

An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat

Published on: May 19, 2020

6.5K

Related Concept Videos

Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
670
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
1.3K
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
511
Mitral Regurgitation II: Clinical Features and Diagnostic Tests01:23

Mitral Regurgitation II: Clinical Features and Diagnostic Tests

Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
926
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
1.8K
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
550