AI Article Synopsis
- The NeoChord procedure is a new, minimally invasive surgery for repairing degenerative mitral regurgitation (MR) caused by mitral valve prolapse, specifically reported in four cases in mainland China.
- Four patients aged 60 to 86 underwent the procedure, which involved the implantation of artificial chordae and was guided by advanced imaging techniques.
- All patients showed improvement with only mild to moderate MR post-surgery, and no complications were reported, suggesting that this technique is a viable option for Chinese patients with similar conditions.
Article Abstract
Background: Transapical off-pump NeoChord procedure is a novel minimally invasive surgical repair of degenerative mitral regurgitation (MR). Here, we report the first four cases of NeoChord procedure in patients with mitral valve prolapse in mainland China.
Methods: Four patients, aged 86, 84, 80 and 60 years, with severe MR due to posterior middle scallop prolapse (P2), underwent transapical off-pump artificial chordae implantation on April 9 and 10, 2019. The procedure was performed by left mini-thoracotomy under general anaesthesia and guided by 2D and 3D dimensional transoesophageal echocardiography (TEE).
Results: Mitral valve repair via NeoChord procedure was successfully performed with implantation of 3 artificial chordae in the first patient and 3, 2, and 3 artificial chordae in the following patients, respectively. Intraoperative TEE and pre-discharge transthoracic echocardiography (TTE) showed only mild to moderate MR of these four patients and no postoperative complications were noted. There were no changes of TTE finding between one-month follow-up and pre-discharge.
Conclusion: The successful NeoChord procedures in four Chinese indicate that the valve repair using the NeoChord system for Chinese population is feasible.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545367 | PMC |
| http://dx.doi.org/10.5847/wjem.j.1920-8642.2019.03.001 | DOI Listing |
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