Different ways to repair the mitral valve with artificial chordae: A systematic review

Federico Bizzarri, Antonella Tudisco, Massimo Ricci, David Rose, Giacomo Frati

Research output: Contribution to journalArticlepeer-review


Myxomatous mitral regurgitation (type II Carpentier's functional classification) affects about 1-2% of the population. This represents a very common indication for valve surgery resulting in a low percentage of repairs compared to replacement which is actually performed. In the last decades, several methods for mitral valve repair have been developed, to make the surgical feasibility easier, improve the long-term follow-up thus avoiding the need for reoperations. A very interesting method is represented by the combination of various valve repair techniques, depending on the involvement of the anterior, posterior, or both leaflets, and the use of PTFE artificial chordae tendineae when excessive chordal elongation or rupture due to myxomatous degeneration co-exists. The aim of this review is to summarize the evolution of these techniques from the beginning till now.

Original languageEnglish
Article number22
JournalJournal of Cardiothoracic Surgery
Issue number1
Publication statusPublished - Apr 8 2010

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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