AUTHOR=Fiocco Alessandro , Pittarello Demetrio , D’Onofrio Augusto , Mastro Florinda , Gerosa Gino , Colli Andrea TITLE=First in human neochordae retensioning for recurrence of mitral regurgitation after neochord procedure JOURNAL=Frontiers in Cardiovascular Medicine VOLUME=10 YEAR=2023 URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1120323 DOI=10.3389/fcvm.2023.1120323 ISSN=2297-055X ABSTRACT=

The Neochord procedure is a viable option to treat degenerative mitral valve regurgitation in selected patients. Left ventricle reverse remodeling can cause neochord-relative elongation and reprolapse of the treated leaflet, leading to failure. We present a clinical case of extensive ventricle reverse remodeling after neochord implantation and the first-in-man off-pump surgical retensioning of the previously implanted artificial chords.