Comparison of Anterior Mitral Leaflet Repair Techniques with and without the Use of Chordal Replacement in Patients with Degenerative Mitral Valve Insufficiency

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dc.authoridDiken, Adem Ilkay / 0000-0002-8782-7603
dc.authorwosidDiken, Adem Ilkay / ABE-8722-2020
dc.authorwosidlafci, gokhan / ABB-2638-2020
dc.contributor.authorKadirogullari, Ersin
dc.contributor.authorCicek, Omer Faruk
dc.contributor.authorMola, Serkan
dc.contributor.authorYasar, Emre
dc.contributor.authorErkengel, Ibrahim
dc.contributor.authorYalcinkaya, Adnan
dc.contributor.authorCagli, Kerim
dc.date.accessioned2021-11-01T15:02:56Z
dc.date.available2021-11-01T15:02:56Z
dc.date.issued2019
dc.department[Belirlenecek]
dc.description.abstractBackground: The aim of our study was to compare the outcome of patients who underwent mitral valve anterior leaflet repair with and without chordal replacement for degenerative mitral valve insufficiency. Methods: This study was conducted at our center between May 2006 and May 2013. The study included 125 patients with degenerative mitral valve insufficiency (64 males, 61 females; mean age 47 years, age range 16-78 years) who underwent mitral valve repair with anterior leaflet procedures. The patients were divided into 2 groups. Group A consisted of 56 patients with chordal replacement, and group B consisted of 69 patients with other repair techniques performed. Results: No significant difference was determined between the 2 groups in mortality, recurrence, and reoperation rates. The mortality rate was 3.6% in group A and 1.4% in group B. During the follow-up period, 3 patients were reoperated on (mitral valve replacement) because of severe mitral valve insufficiency. Two of these patients were from group A (3.6%), and the other was from group B (1.4%). One patient in group A underwent intraoperative mitral valve replacement after unsuccessful chordal replacement. Fifty patients (89.3%) in group A and 65 patients (94.2%) in group B exhibited no or mild recurrence of mitral valve insufficiency. Conclusion: Mitral valve repair in patients with degenerative mitral valve insufficiency resulting from anterior leaflet pathology is a safe procedure because of its durability and good long-term results. Despite the difficulty of the chordal replacement procedure, it may be used as an alternative technique for anterior mitral valve leaflet repair.
dc.identifier.doi10.1532/hsf.2317
dc.identifier.endpageE240en_US
dc.identifier.issn1098-3511
dc.identifier.issn1522-6662
dc.identifier.issue3en_US
dc.identifier.pmid31237550
dc.identifier.scopus2-s2.0-85066244802
dc.identifier.scopusqualityQ3
dc.identifier.startpageE234en_US
dc.identifier.urihttps://doi.org/10.1532/hsf.2317
dc.identifier.urihttps://hdl.handle.net/11491/6873
dc.identifier.volume22en_US
dc.identifier.wosWOS:000475389300005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor[Belirlenecek]
dc.language.isoen
dc.publisherForum Multimedia Publishing, Llc
dc.relation.ispartofHeart Surgery Forum
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subject[No Keywords]en_US
dc.titleComparison of Anterior Mitral Leaflet Repair Techniques with and without the Use of Chordal Replacement in Patients with Degenerative Mitral Valve Insufficiency
dc.typeArticle

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