Chordal Replacement with Expanded Polytetrafluoroethylene Suture: Early Results

Chotivatanapong, Taweesak; Chaiseri, Pradistchai; Kasemsarn, Choosak; Sungkahapong, Vibhan

doi:10.1177/021849239800600111

Cited by 1 publication

(4 citation statements)

References 7 publications

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“…Our midterm results of chordal replacement with this suture are satisfactory and confirm our early findings. 1 A precise surgical technique to achieve the correct length of the new chordae is crucial for a good outcome. This technique was particularly useful in our population of patients, many of whom had subvalvular deformities due to the rheumatic process, and no suitable native chordae were available.…”

Section: Discussionmentioning

confidence: 99%

“…The technique of chordal replace-ment using 5/0 double-arm PTFE suture (Gore-Tex; WL Gore, Flagstaff, AZ, USA) has been described previously. 1 The average number of pairs of PTFE sutures per patient was 1.34. All patients underwent postoperative echo-cardiography at intervals during an average period of 12.4 months.…”

Section: Methodsmentioning

confidence: 99%

“…The majority (17 patients) had rheumatic disease, 5 had degenerative disease, 6 had infective endocarditis, and 1 had ischemic heart disease. Preoperative diagnoses included isolated mitral regurgitation (MR) in 13 patients, mixed mitral stenosis and MR (7), isolated mitral stenosis (5), combined MR and tricuspid regurgitation (3), and MR with ischemic heart disease (1). Preoperatively, 26 patients were in New York Heart Association (NYHA) functional class III and IV, and 3 were in class II.…”

Section: Methodsmentioning

confidence: 99%

“…Polytetrafluoroethylene (PTFE) suture has been used for chordal replacement in this group of patients, with encouraging early results. 1…”

Section: Introductionmentioning

confidence: 99%

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Chordal Replacement with Polytetrafluoroethylene Suture: Midterm Results

Chotivatanapong¹,

Chaiseri²,

Kasemsarn³

et al. 2001

Asian Cardiovasc Thorac Ann

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From March 1994 to December 1999, polytetrafluoroethylene suture was used for chordal replacement during mitral valve repair in 30 patients. Follow-up ranged from 4 to 70 months with a mean of 36.6 months and was complete in 29 patients: 14 males and 15 females with a mean age of 40.6 years. Most (17) had rheumatic heart disease, 5 had degenerative disease, 6 had infective endocarditis, and 1 had ischemic heart disease. Preoperatively, 26 patients were in functional class III and IV. Operations comprised isolated mitral valve repair (15), combined mitral and tricuspid valve repair (4), mitral valve repair and aortic valve replacement (3), and others (7). The most frequent additional procedures were commissurotomy, papillotomy, resection of primary or secondary chordae, and chordal splitting. The mean cardiopulmonary bypass and aortic crossclamp times were 155.3 and 120.5 minutes, respectively. There was no hospital mortality. One patient died 20 months postoperatively from chronic obstructive lung disease. All survivors were in functional class I and II. Mitral regurgitation was reduced from a preoperative mean of +3.1 degrees to +0.43 degrees. No thromboembolic event or valve failure occurred during follow-up. It was concluded that polytetrafluoroethylene suture was safe and effective for mitral valve repair.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%