Abstract
This message describes the successful reconstructive intervention on the mitral valve with complex pathology
of congenital origin. A direct result of the operation is an excellent hemodynamics of mitral valve, good
function of the myocardium.
Surgical reconstruction of the physiologically wide coaptation surface is of practical importance. The nonphysiologic
stresses distribution on the thin marginal chords is an important risk factor for predicting distant
chordal rupture and recurrent regurgitation on reconstructed mitral valve. Multicomponent reconstruction
with the creation of multiple neochord with congenital mitral valve insufficiency in the present case, not only
restored the coaptation of valve leaflets, but also prevents possible rupture of native chords in the future,
caused by improper distribution of load on them. Successful correction of mitral insufficiency requires
understanding the etiology of the lesion and multicomponent approach to the reconstruction of the valve.
We have chosen the tactics of treatment may be recommended for the correction of such.
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