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Transapical Beating-Heart Mitral Valve Repair With an Expanded Polytetrafluoroethylene Cordal Implantation Device
Author(s) -
James S. Gammie,
Peter Wilson,
Krzysztof Bartuś,
Andrzej Gackowski,
Judy Hung,
Michael N. DʼAmbra,
Piotr Kołsut,
Gregory J. Bittle,
Piotr Szymański,
Jerzy Sadowski,
Bogusław Kapelak,
Agata Bilewska,
Mariusz Kuśmierczyk,
Mehrdad Ghoreishi
Publication year - 2016
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.116.022010
Subject(s) - medicine , median sternotomy , mitral valve repair , thoracotomy , mitral regurgitation , ejection fraction , mitral valve , surgery , cardiology , cardiopulmonary bypass , heart disease , heart failure
Degenerative mitral valve (MV) disease is a common cause of severe mitral regurgitation (MR) and accounts for the majority of MV operations. Conventional MV surgery requires cardiopulmonary bypass, aortic cross-clamping, cardioplegia, and a thoracotomy or sternotomy and, therefore, is associated with significant disability, risks, and unpredictable rates of MV repair. Transesophageal echocardiography-guided beating-heart MV repair with expanded polytetrafluoroethylene cordal insertion has the potential to significantly reduce surgical morbidity. We report the first-in-human clinical experience with a novel preformed expanded polytetrafluoroethylene knot implantation device (Harpoon TSD-5) designed to treat degenerative MR.

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