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J Thorac Cardiovasc Surg 2008;135:1287
© 2008 The American Association for Thoracic Surgery

Invited Commentary

Discussion

The first 20% of the full text of this article appears below.

"A 20-Year Experience of Mitral Valve Repair with Artificial Chordae in 608 Patients." Discussion by James I. Fann, M.D., Stanford, CA.

Dr. James I. Fann (Stanford, CA) Loris, I wish to congratulate you on a comprehensive presentation regarding the use of artificial chordae replacement in the repair of degenerative mitral valve disease. Included in your series is isolated anterior or bileaflet prolapse in nearly half the cases. What is impressive is the number of patients, the excellent early and late results, and the length and completeness of followup. It is believed that artificial chordae replacement in degenerative disease and posterior leaflet prolapse in particular may provide additional chordal support, maintain greater leaflet area, permit for more complex repair, and has the potential of decreased rate of failure.

My first question relates to the percentage of patients who had isolated posterior leaflet prolapse which comprised nearly 50% or 51% of patients who underwent chordal replacement in your group's experience. Here is the question. Do you think . . . [Full Text of this Article]


Related Article

A 20-year experience with mitral valve repair with artificial chordae in 608 patients
Loris Salvador, Salvatore Mirone, Roberto Bianchini, Tommaso Regesta, Fabio Patelli, Giuseppe Minniti, Mauro Masat, Elena Cavarretta, and Carlo Valfrè
J. Thorac. Cardiovasc. Surg. 2008 135: 1280-1287. [Abstract] [Full Text] [PDF]





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