Comparison of anterior mitral leaflet repair techniques with and without the use of chordal replacement in patients with degenerative mitral valve insufficiency

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dc.contributor.authorKadiroğulları, Ersin
dc.contributor.authorÇiçek, Ömer Faruk
dc.contributor.authorMola, Serkan
dc.contributor.authorYaşar, Emre
dc.contributor.authorErkengel, İbrahim
dc.contributor.authorYalçınkaya, Adnan
dc.contributor.authorGünertem, Eren
dc.contributor.authorİkbaliafşar, Ferhat
dc.contributor.authorDiken, Adem
dc.contributor.authorKocabeyoğlu, Sabit
dc.contributor.authorLafçı, Gökhan
dc.contributor.authorÇağlı, Kerim
dc.date.accessioned2020-03-26T20:13:02Z
dc.date.available2020-03-26T20:13:02Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: The aim of our study was to compare the outcome of patients who underwent mitral valve anterior leaflet repair with and without chordal replacement for degenerative mitral valve insufficiency. Methods: This study was conducted at our center between May 2006 and May 2013. The study included 125 patients with degenerative mitral valve insufficiency (64 males, 61 females; mean age 47 years, age range 16-78 years) who underwent mitral valve repair with anterior leaflet procedures. The patients were divided into 2 groups. Group A consisted of 56 patients with chordal replacement, and group B consisted of 69 patients with other repair techniques performed. Results: No significant difference was determined between the 2 groups in mortality, recurrence, and reoperation rates. The mortality rate was 3.6% in group A and 1.4% in group B. During the follow-up period, 3 patients were reoperated on (mitral valve replacement) because of severe mitral valve insufficiency. Two of these patients were from group A (3.6%), and the other was from group B (1.4%). One patient in group A underwent intraoperative mitral valve replacement after unsuccessful chordal replacement. Fifty patients (89.3%) in group A and 65 patients (94.2%) in group B exhibited no or mild recurrence of mitral valve insufficiency. Conclusion: Mitral valve repair in patients with degenerative mitral valve insufficiency resulting from anterior leaflet pathology is a safe procedure because of its durability and good long-term results. Despite the difficulty of the chordal replacement procedure, it may be used as an alternative technique for anterior mitral valve leaflet repair.en_US
dc.identifier.citationKadiroğulları, E., Çiçek, Ö. F., Mola, S., Yaşar, E., Erkengel, I., Yalçınkaya, A., İkbaliafşar, F., Diken, A., Kocabeyoğlu, S., Lafçı, G., Çağlı, K. (2019). Comparison of Anterior Mitral Leaflet Repair Techniques with and without the Use of Chordal Replacement in Patients with Degenerative Mitral Valve Insufficiency. The Heart Surgery Forum, 22(3), E234-E240.
dc.identifier.doi10.1532/hsf.2317en_US
dc.identifier.endpageE240en_US
dc.identifier.issn1098-3511en_US
dc.identifier.issn1522-6662en_US
dc.identifier.issue3en_US
dc.identifier.pmid31237550en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpageE234en_US
dc.identifier.urihttps://dx.doi.org/10.1532/hsf.2317
dc.identifier.urihttps://hdl.handle.net/20.500.12395/37607
dc.identifier.volume22en_US
dc.identifier.wosWOS:000475389300005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÇiçek, Ömer Faruk.
dc.language.isoenen_US
dc.publisherFORUM MULTIMEDIA PUBLISHING, LLCen_US
dc.relation.ispartofHEART SURGERY FORUMen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectmitral valve
dc.subjectdegenerative
dc.subjectanterior
dc.subjectchordal
dc.titleComparison of anterior mitral leaflet repair techniques with and without the use of chordal replacement in patients with degenerative mitral valve insufficiencyen_US
dc.typeArticleen_US

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