Chordal Preservation in Endoscopic Mitral Valve
Replacement
Benefits of Chordal preservation
●Preservation of LV function
●Preservation of Annulo-ventricular
continuity
●Prevent LVOTO
●Avoid interference with prosthesis
function by portions of retained
subvalvular apparatus.
Benefits of Minimal invasive
surgery
●Faster return to normal activities
●Shorter hospital stay.
●No splitting of sternum.
●Quicker resolution of pain.
●Minimal blood loss.
●Little scarring and less infections.
Conclusion
●Complete Chordal
preservation
advantages.
●Preserves LV
geometry and
functions.
●Reduces operative
mortality.
●Reduces the risks of
ventricular rupture.
●Better resolution in
MICS for chordal
preservation.