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  • Title: [Transection of secondary chordae of anterior mitral valve leaflet as a method of correction of functional mitral insufficiency during resection of left ventricular aneurism].
    Author: Katkov AI, Sedov VP, Katkova VO, Stonogin AV, Shcherbiuk AN.
    Journal: Kardiologiia; 2009; 49(4):93-5. PubMed ID: 19463126.
    Abstract:
    Dominating factor of development of functional mitral insufficiency in patients with ischemic heart disease and dilated cardiomyopathy is deformation of atrioventricular valve leaflets due to traction by chordae apparatus. In patients candidates for left ventricular reconstruction because of its postinfarction aneurism the problem of preexisting or recurrent dysfunction of mitral valve acquires special value as operation itself implies surgical ventricular remodeling and therefore change of mitral valve geometry. Supplementation of the volume of surgical intervention with resection of chordae responsible for impaired coaptation of mitral valve leaflets in some cases appears to be effective and simple method of correction of mitral insufficiency.
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