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Editorial
. 2023 Oct 28:22:59-64.
doi: 10.1016/j.xjtc.2023.10.018. eCollection 2023 Dec.

Neochords: How long, how many, too many?

Stefan Elde  1   2 , Y Joseph Woo  1   2   3
Affiliations
Editorial

Neochords: How long, how many, too many?

Stefan Elde et al. JTCVS Tech. .
No abstract available

Keywords: degenerative mitral valve; mitral regurgitation; mitral valve repair; myxomatous mitral valve; neochordae; systolic anterior motion.

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Conflict of interest statement

The authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest.

Figures

None
Fundamental principles for surgical repair of degenerative mitral regurgitation.
Figure 1
Figure 1
Schematic representation of the 3 most commonly utilized configurations of neochordae.
Figure 2
Figure 2
The midline of the mitral valve is defined by a vertical line extending between the anterior and posterior annulus in the center of A2 and P2. The equator is defined as a horizontal line extending between the nadir of the anterior and posterior heads of the anterolateral and posteromedial papillary muscles.
Figure 3
Figure 3
Labeled illustration of mitral valve neochordal repair with static pressurization for postrepair assessment and diastolic phase inversion (DPI). We hypothesize that DPI results in neochord length overestimation, which might lead to a suboptimal repair and reduced hemodynamic performance.
See this image and copyright information in PMC

References

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