Evidence map›Paper›PMID 36116053›Full record

ReviewJournal of cardiac surgery2022

Artificial chordae for mitral valve repair.

Igor Vendramin, Aldo D Milano, Angela Pucci, Andrea Lechiancole, Sandro Sponga, Uberto Bortolotti, Ugolino Livi

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of cardiac surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

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  6. Artificial chordae for mitral valve repair.Journal of cardiac surgery · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Igor VendraminCardiothoracic Department, University Hospital, Udine, Italy.
Aldo D MilanoDivision of Cardiac Surgery, University Hospital, Bari, Italy.
Angela PucciDivision of Pathology, University Hospital, Pisa, Italy.
Andrea LechiancoleCardiothoracic Department, University Hospital, Udine, Italy.
Sandro SpongaCardiothoracic Department, University Hospital, Udine, Italy.
Uberto BortolottiCardiothoracic Department, University Hospital, Udine, Italy.
Ugolino LiviCardiothoracic Department, University Hospital, Udine, Italy.
University of Udine · ITAzienda Ospedaliera Universitaria Pisana · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMitral valve repair using expanded polytetrafluoroethylene sutures to replace mitral chordae tendineae is a well-established procedure. However, the incidence of neo-chordae failure causing recurrent mitral regurgitation is not well defined.

methodsWe have reviewed the reported cases of complications after mitral valve repair related to the use of neo-chordae. This study was mainly carried out through PubMed, Medline, and Google Chrome websites.

resultsWe have identified a total of 26 patients presenting with rupture of polytetrafluoroethylene neo-chordae, mostly being described as isolated cases. Few other cases of recurrent mitral regurgitation with hemolysis were found, where reoperation was not caused by neo-chordal failure but most likely by technical errors. At pathological investigation the findings were substantially similar in all reported cases. The neo-chordae retained their length and pliability, became covered with host tissue and rupture was mainly related to suture size. Mild calcification was observed not interfering with chordal function; chordal infection did never occur.

conclusionsThe use of artificial neo-chordae provides excellent late results with durable mitral valve repair stability. Chordal rupture may occur late postoperatively leading to reoperation because of recurrent mitral regurgitation. Despite its rarity, this potential complication should not be overlooked during follow-up of patients after mitral valve repair using artificial neo-chordae.

Indexed as

Mitral Valve InsufficiencyMitral Valve ProlapseChordae TendineaeHumansMitral ValvePolytetrafluoroethyleneSuturesPolytetrafluoroethylenecardiovascular pathologyvalve repair/replacement

Identifiers

PMID36116053
PMCPMC9826337
OpenAlexW4296220116

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.