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Table 2 Etiology of recurrent moderate or severe mitral regurgitation after mitral valve repair

From: Recurrent mitral regurgitation after mitral valve repair for bileaflet lesions in the modern era

No.

Age/sex

MR lesiona

Repair technique

Interval from repair (years)

Etiology of failureb

1

70/M

A2–3 + P1–2 prolapse

Artificial neochordae of A2–3

0.0 (7 days)

A3 prolapse (failure of neochordae)

2

70/F

A2 + P2–3 prolapse

Quadrangular resection of P2–3, Artificial neochordae of A2

0.0 (8 days)

AML tethering, PML motion↓

3

60/M

A2 + P2-P3-PC prolapse

Artificial neochordae of A2, Quadrangular resection of P2, Commissural plication of PC

0.2

A2 prolapse (failure of neochordae)

4

77/F

A2 + P2 prolapse

Artificial neochordae of A2 + P2

0.3

P2 prolapse (failure of neochordae)

5

69/M

A2 prolapse,

P1 gap

Artificial neochordae of A2, Leaflet approximation of P1

0.6

AML + PML tethering

6

77/F

A2 prolapse, PML tethering

Artificial neochordae of A2, Commissural plication of PC

0.7

A2–3 tethering

7

80/F

A1 + A3 + P3 prolapse, MAC

Artificial neochordae of A1, Commissural plication of PC

1.2

P3 prolapse

8

70/F

A2–3 prolapse, P2–3 gap

Artificial chordae of A2–3, Commissural plication of PC, Leaflet approximation of P2–3

2.0

A3 prolapse

9

69/M

A1 prolapse,

P1 tethering

Triangular resection + Artificial neochordae of A1, Commissural plication of AC

4.0

A1 prolapse

10

68/M

A2–3 + PC prolapse

Artificial neochordae of A2–3, Commissural plication of PC

7.0

Regurgitation from PC

  1. aBased on surgical assessments of the valve leaflets. bBased on postoperative transthoracic and transesophageal echocardiography performed after mitral valve repair
  2. AC anterolateral commissure, AML anterior mitral leaflet, MAC mitral annular calcification, MR mitral regurgitation, PC posteromedial commissure, PML posterior mitral leaflet