Mechanisms of recurrent regurgitation after transapical off-pump mitral valve repair with neochord implantation†

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Andrea ColliGino Gerosa

Abstract

The aim of this study was to describe possible mechanisms of recurrent mitral regurgitation (MR) in patients who have been treated with the NeoChord procedure. Patients presenting with recurrent severe or moderate MR were categorized as Not Expected Surgical-Like Result (NESLR)-Redo and NESLR-MR2 [NESLR reintervention or moderate MR (2+), respectively]. NESLR patients were stratified by onset (intraoperative, perioperative 24 h-30 days, or early 30 days to follow-up), by MR jet direction (central or eccentric) and by jet orientation (anterior or posterior). Specific mechanisms of NESLR were analysed. Fifty-two patients were identified with 13 (25%) categorized as NESLR-Redo, and 39 (75%) as NESLR-MR2. NESLR-Redo patient stratification included: intraoperative = 2 patients (1.2%), both eccentric anteriorly directed jets; perioperative = 7 patients (4.2%), all eccentric with 3 anteriorly and 4 posteriorly directed jets; and early = 4 patients (2.4%), 1 central, 3 eccentric, 2 posteriorly and 1 anteriorly directed jets. NESLR-MR2 patient stratification included: perioperative = 2 patients (5.1%), both eccentric, 1 anteriorly and 1 posteriorly directed jets; and early = 37 patients (94.9%), 4 central, 33 eccentric, 22 anteriorly an...Continue Reading

References

Oct 4, 2005·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Maria J ErikssonHarry Rakowski
Nov 4, 2009·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Anelechi C Anyanwu, David H Adams
Jun 16, 2012·The Journal of Thoracic and Cardiovascular Surgery·Javier G CastilloDavid H Adams
Feb 19, 2015·Interactive Cardiovascular and Thoracic Surgery·Andrea ColliGino Gerosa
Oct 21, 2015·JACC. Cardiovascular Imaging·Jocelyn N SpoonJoseph F Malouf
Dec 15, 2015·International Journal of Cardiology·Andrea ColliGino Gerosa
Aug 16, 2016·Circulation. Cardiovascular Imaging·Martina Perazzolo MarraSabino Iliceto
Mar 21, 2017·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·William A ZoghbiNeil J Weissman
Jul 25, 2017·The Annals of Thoracic Surgery·Andrea ColliGino Gerosa
Nov 4, 2017·Journal of the American College of Cardiology·Paul SorajjaGorav Ailawadi
Jan 9, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hidefumi NishidaShuichiro Takanashi
Feb 27, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Andrea ColliGino Gerosa
Jul 23, 2018·JACC. Cardiovascular Imaging·Robert ZilberszacRaphael Rosenhek
Jul 31, 2018·European Heart Journal·Menachem M WeinerDavid H Adams
Nov 21, 2018·Journal of Interventional Cardiology·Ahmed SubahiTheodore Schreiber

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Citations

Sep 26, 2019·Frontiers in Cardiovascular Medicine·Alessandro FioccoAndrea Colli
Jan 22, 2021·Journal of Cardiac Surgery·Ahmed AhmedMotaz Majthoob

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