Abstract
Expanded polytetrafluoroethylene (e-PTFE) sutures have been used with increasing frequency to replace chordae tendineae in mitral valves prolapsing because of myxoid change. A case is reported where fibrosis and calcification of the endocardial overgrowth covering the synthetic chordae led to severe mitral regurgitation 7 years after plastic repair and required mechanical prosthetic valve implantation.
MeSH terms
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Calcinosis / pathology
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Cardiac Surgical Procedures
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Chordae Tendineae / pathology
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Chordae Tendineae / surgery*
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Fibrosis / pathology
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Heart Valve Prosthesis*
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Humans
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Male
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Middle Aged
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Mitral Valve / pathology
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Mitral Valve / surgery*
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Mitral Valve Insufficiency / etiology
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Mitral Valve Insufficiency / pathology
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Mitral Valve Prolapse / pathology
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Mitral Valve Prolapse / surgery*
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Polytetrafluoroethylene
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Postoperative Complications*
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Reoperation
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Sutures