Intermediate and early rupture of expanded polytetrafluoroethylene neochordae after mitral valve repair.

Abstract

Neochordae construction using an expanded polytetrafluoroethylene suture is an accepted surgical technique to correct mitral regurgitation due to mitral valve prolapse. We report two cases of intermediate and early rupture of CV-5 expanded polytetrafluoroethylene neochordae after mitral valve repair. As a result of these cases, we now use CV-3 expanded polytetrafluoroethylene for neochordae construction with no failures.

• Authors: Michael H Yamashita, Peter L Skarsgard
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 92 Issue 1 Pg. 341-3 (Jul 2011) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 21718872 (Publication Type: Journal Article)
• Copyright: Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Chemical References

• Polytetrafluoroethylene

Topics

• Aged
• Bioprosthesis
• Cardiac Surgical Procedures (adverse effects, methods)
• Cardiopulmonary Bypass (adverse effects, methods)
• Chordae Tendineae (surgery)
• Echocardiography, Doppler
• Echocardiography, Transesophageal (methods)
• Female
• Follow-Up Studies
• Heart Valve Prosthesis Implantation (methods)
• Humans
• Male
• Middle Aged
• Mitral Valve Insufficiency (diagnostic imaging, surgery)
• Polytetrafluoroethylene (adverse effects)
• Reoperation (methods)
• Risk Assessment
• Rupture, Spontaneous (etiology, surgery)
• Sampling Studies
• Severity of Illness Index
• Suture Techniques
• Sutures (adverse effects)
• Time Factors
• Treatment Outcome