ArticleAnnals of translational medicine2021
Quadrangular resection versus chordal replacement for degenerative posterior mitral leaflet prolapse.
Article in Annals of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- The impact of leaflet resection versus leaflet preservation on left ventricular reverse remodelling after mitral valve repair: insights from the UK mini mitral trial.Journal of cardiothoracic surgery · 2026Trial
- Posterior leaflet reconstruction in mitral valve repair: Does resect versus respect strategy matter?JTCVS open · 2025Article
- Survival and Durability of Minimally Invasive Mitral Valve Repair: Insights from Different Repair Techniques.Medical sciences (Basel, Switzerland) · 2024Article
- Recurrent mitral regurgitation after repair of Barlow's disease in a single-center retrospective cohort study.Quantitative imaging in medicine and surgery · 2024Article
- Midterm outcomes of minimally invasive mitral valve surgery in a heterogeneous valve pathology cohort: respect or resect?Journal of thoracic disease · 2023Article
- Propensity Matched Outcomes of Minimally Invasive Mitral Surgery: Does a Heart-Team Approach Eliminate Female Gender as an Independent Risk Factor?Journal of personalized medicine · 2023Article
- Simple and Safe: Inverse Plication of the Posterior Mitral Leaflet in Everyday Mitral Valve Reconstruction with and without Concomitant Procedures.Medicina (Kaunas, Lithuania) · 2023Article
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Authors and funding
15 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aims of the present study was to compare midterm results of quadrangular leaflet resection versus chordal replacement for the repair of degenerative posterior mitral leaflet (PML) prolapse, and to explore the risk factors for recurrent severe mitral regurgitation (MR).
methodsFrom January 2012 to December 2018, 1,423 consecutive patients underwent mitral valve (MV) repair. A total of 317 had degenerative PML prolapse and constituted the study population. Of these, 74 (23.3%) underwent quadrangular leaflet resection, and 243 (76.7%) underwent chordal replacement. Outcomes were compared by using unadjusted data and propensity score-matched analyses.
resultsPatients with multiple leaflet prolapse were more likely to undergo chordal replacement (18.4%
conclusionsChordal replacement for the repair of degenerative posterior MV prolapse yields similar satisfactory outcomes when compared with quadrangular resection, and is promising in minimally invasive cardiac surgery for various lesions. However, it is also associated with more recurrent severe MR, albeit non-significant, for which patients with dilated LVESD are at high risk.
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