Kadiroğulları, ErsinÇiçek, Ömer FarukMola, SerkanYaşar, EmreErkengel, İbrahimYalçınkaya, AdnanGünertem, Erenİkbaliafşar, FerhatDiken, AdemKocabeyoğlu, SabitLafçı, GökhanÇağlı, Kerim2020-03-262020-03-262019Kadiroğulları, 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-E240.1098-35111522-6662https://dx.doi.org/10.1532/hsf.2317https://hdl.handle.net/20.500.12395/37607Background: 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.en10.1532/hsf.2317info:eu-repo/semantics/openAccessmitral valvedegenerativeanteriorchordalArticle223E234E24031237550Q3WOS:000475389300005Q4