Transapical Off-Pump Neochord Implantation in Case of Severe Mitral Regurgitation

Uldis Strazdins; Gvido Janis Bergs; Martins Kalejs; Indra Vilumsone

doi:10.1515/chilat-2017-0007

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Transapical Off-Pump Neochord Implantation in Case of Severe Mitral Regurgitation

Acta Chirurgica Latviensis

Volume 16 (2016): Issue 2 (December 2016)

By: Uldis Strazdins, Gvido Janis Bergs, Martins Kalejs and Indra Vilumsone

Open Access

|Aug 2017

Abstract

Mitral regurgitation is common valvular heart disease and a major cause of congestive heart failure and death. It is most often associated with degenerative changes in mitral valve which leads to valve prolapse. Transapical off-pump mitral valve repair is a new minimally invasive procedure to treat mitral regurgitation. Here we report 64-year old female who suffered from grade III mitral regurgitation due to ruptured chorda and posterior leaflet P2/P3 segment prolapse. During surgery 4 artificial chordae were implanted and postoperative echocardiography results showed minimal residual grade I mitral regurgitation, therefore significant clinical improvement can be achieved with minimally invasive approach.

References

1. Colli A, Manzan E, Zucchetta F, Bizzotto E, Besola L, Bagozzi L, Bellu R, Sarais C, Pittarello D, Gerosa G. Transapical off-pump mitral valve repair with Neochord implantation: Early clinical results// Int J Cardiol, 2016; 204:23-28
Search in Google Scholar Back to article
2. Colli A, Manzan E, Zucchetta F, Sarais C, Pittarello D, Speziali G, Gerosa G. TEE-Guided Transapical Beating-Heart Neochord Implantation in Mitral Regurgitation// JACC Cardiovasc Imaging, 2014; 7: 322-323
Search in Google Scholar Back to article
3. Iung B, Baron G, Butchart EG, Delahaye F, Gohlke-Bärwolf C, Levang OW, Tornos P, Vanoverschelde JL, Vermeer F, Boersma E, Ravaud P, Vahanian A. A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease// Eur Heart J, 2003; 24: 1231-1243
Search in Google Scholar Back to article
4. Levine R, Triulzi M, Harrigan P, Weyman A. The relationship of mitral annular shape to the diagnosis of mitral valve prolapse// Circulation, 1987; 75: 756-67
Search in Google Scholar Back to article
5. Mirabel M, Iung B, Baron G, Messika-Zeitoun D, Détaint D, Vanoverschelde JL, Butchart EG, Rayaud P, Vahanian A. What are the characteristics of patients with severe, symptomatic, mitral regurgitation who are denied surgery?// Eur Heart J, 2007; 28: 1358-1365
Search in Google Scholar Back to article
6. Monin JL, Dehant P, Roiron C, Monchi M, Tabet JY, Clerc P, Fernandez G, Houel R, Garot J, Chauvel C, Gueret P. Functional assessment of mitral regurgitation by transthoracic echocardiography using standardized imaging planes diagnostic accuracy and outcome implications// J Am Coll Cardiol, 2005;46: 302-309
Search in Google Scholar Back to article
7. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP 3rd, Guyton RA, O’Gara PT, Ruiz CT, Skubas NJ, Sorajja P, Stundt TM 3rd, Thomas JD. 2014 AHA/ACC Guideline for the Management of Patients with Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;63: 57-18510.1016/j.jacc.2014.02.53624603191
Search in Google Scholar Back to article
8. Nkomo VT, Gardin JM, Skelton TN, Gottdiener JS, Scott CG, Enriquez-Sarano M. Burden of valvular heart diseases: a population-based study//Lancet, 2006; 368: 1005-1011
Search in Google Scholar Back to article
9. Rucinskas K, Janusauskas V, Zakarkaite D, Aidietiene S, Samalavicius R, Speziali G, Aidietis A. Off-pump transapical implantation of artificial chordae to correct mitral regurgitation: early results of a single-center experience// J Thorac Cardiovasc Surg, 2014; 147:95-99
Search in Google Scholar Back to article
10. Seckeler MD, Hoke TR. The worldwide epidemiology of acute rheumatic fever and rheumatic heart disease//Clin Epidemiol, 2011;3: 67-84
Search in Google Scholar Back to article
11. Seeburger J, Borger MA, Tschernich H, Leontjev S, Holzhey D, Noack T, Ender J, Mohr FW. Transapical Beating Heart Mitral Valve Repair//Circulation, 2010; 3: 611-612
Search in Google Scholar Back to article
12. Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Baron-Esquivias G, Baumbartner H, Borger MA, Carrel TP, De Bonis M, Evangelista A, Falk V, Iung B, Lancellotti P, Pierard L, Price S, Schäfers HJ, Schuler G, Stepinska J, Swedberg K, Takkenberg J, Von Oppell UO, Windecker S, Zamorano JL, Zembala M. Guidelines on the management of valvular heart disease// Eur Heart J, 2012;33: 2451-496
Search in Google Scholar Back to article
13. Yu HT, Moon J, Yang WI, Shim CY, Lee S, Chang BC, Hong GR, Ha JW. High Prevalence of Unrecognized Chordae Tendineae Rupture in Mitral Valve Prolapse Patients Undergoing Valve Replacement Surgery// Can J Cardiol, 2013;29:1643-48
Search in Google Scholar Back to article

Articles in this issue

DOI: https://doi.org/10.1515/chilat-2017-0007 | Journal eISSN: 2199-5737 | Journal ISSN: 1407-981X

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Language: English

Page range: 28 - 30

Published on: Aug 22, 2017

Published by: Riga Stradins University

In partnership with: Paradigm Publishing Services

Publication frequency: 1 issue per year

Keywords:

mitral valve regurgitation,

transapical mitral valve repair,

Related subjects:

Surgery,

© 2017 Uldis Strazdins, Gvido Janis Bergs, Martins Kalejs, Indra Vilumsone, published by Riga Stradins University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Volume 16 (2016): Issue 2 (December 2016)