The first four cases of successful NeoChord procedure in Chinese mainland
- Author:
Li-han Wang
1
;
Zhao-xia Pu
1
;
Min-jian Kong
1
;
Ju-bo Jiang
1
;
Kai-da Ren
1
;
Feng Gao
1
;
Xin-ping Lin
1
;
Lei Yu
1
;
Wei He
1
;
Min Yan
1
;
Xian-bao Liu
1
;
Jian-an Wang
1
Author Information
- Publication Type:Journal Article
- Keywords: Mitral regurgitation; Mitral valve repair; NeoChord system
- From: World Journal of Emergency Medicine 2019;10(3):133-137
- CountryChina
- Language:English
-
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 Chinese mainland.
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. - Full text:001 wjem-2019-00158.pdf
