Repair of bileaflet prolapse in Barlow syndrome: The 4-chord technique

Raphaelle A. Chemtob, Stephanie Mick, Marc Gillinov, Kevin Hodges, Per Wierup*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Barlow syndrome is a form of degenerative mitral valve (MV) disease found in a subset of patients with bileaflet prolapse. The hallmark of Barlow's disease includes excessive and billowing leaflet tissue caused by myxomatous tissue proliferation, elongated chordae, and pronounced annular dilatation. Surgical repair of patients with Barlow's disease is challenging due to the extent of the leaflet and annular abnormalities. Several techniques have been described to repair Barlow's MV including currently popular “non-resectional” approaches. Repair with neochordae has been associated with excellent results and includes the advantage of preserved leaflet mobility and a large surface of coaptation. We describe a simple approach to the use of neochordae to repair bileaflet prolapse in patients with Barlow syndrome and avoid systolic anterior motion.

Original languageEnglish (US)
Pages (from-to)605-609
Number of pages5
JournalJournal of Cardiac Surgery
Volume34
Issue number7
DOIs
StatePublished - Jul 2019

Keywords

  • Barlow
  • mitral valve repair
  • myxomatous mitral valve
  • neochordae

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

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