[A new reconstructive technique in cases of mitral insufficiency caused by the elongation of the chordae tendineae of the anterior cusp. A case report]. / Nova técnica reconstrutora na insuficiência mitral por alongamento das cordas tendíneas da cúspide anterior. Relato de caso.
Arq Bras Cardiol
; 54(3): 205-9, 1990 Mar.
Article
in Pt
| MEDLINE
| ID: mdl-2288507
ABSTRACT
A new technique is proposed for mitral incompetence due to elongated chordae tendineae of the anterior leaflet. It consists in shortening the chordae tendineae of the leaflet level. First, we make a longitudinal orifice in the anterior leaflet just near its free edge and the elongated chordae tendineae. Through the orifice and with the help of a micro nerve hook we pull the elongated chordae the necessary to keep the anterior leaflet in the same level of the posterior leaflet. The orifice is then closed with a polipropilene 5-0 suture. The mitral annuloplasty was performed with a Gregori IMC prosthetic ring. The excellent clinical and laboratorial data suggest that mitral insufficiency due to elongated chordae tendineae can be corrected by this technique.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Chordae Tendineae
/
Mitral Valve Insufficiency
Type of study:
Etiology_studies
Limits:
Adolescent
/
Female
/
Humans
Language:
Pt
Journal:
Arq Bras Cardiol
Year:
1990
Document type:
Article
Affiliation country:
Puerto Rico