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Updated: Mar 2, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Rupture of GORE-TEX neochordae 10 years after mitral valve repair
Makoto Mori1, Philip Y K Pang1, Sabet W Hashim1
1Section of Cardiac Surgery, Yale University School of Medicine, New Haven, CT, USA.
Abstract:
The current non-resectional paradigm in mitral valve (MV) repair emphasizes the use of polytetrafluoroethylene (PTFE) for artificial chordal replacement. While excellent long-term durability of repair using PTFE neochordae has been established, there have been rare reports of neochordal rupture at various times after surgery. We report a case of artificial chordal rupture 10 years after anterior mitral leaflet repair, necessitating reoperation. This complication may have been precipitated by maldistributed intracardiac tensile forces as a consequence of a malpositioned annuloplasty band.
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