PMC:6964229 / 4809-6407 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/6964229","sourcedb":"PMC","sourceid":"6964229","source_url":"https://www.ncbi.nlm.nih.gov/pmc/6964229","text":"Surgical technique and perioperative care\nWhen indicated, anterior MV leaflet prolapse was addressed with chordal replacement. Posterior MV leaflet prolapse was addressed with a combination of leaflet resection and chordal replacement techniques. The decision on which technique to use was based on the extent of leaflet prolapse and excessive tissue in height and/or width. Earlier in this series, annular plication was more frequently used to help restore the continuity of the posterior MV leaflet. Later, leaflet sliding techniques were employed. Commissural prolapse was primarily addressed with papillary muscle head repositioning.\nAll patients included in the current study underwent full annuloplasty ring implantation. Ring sizing was standardly based on the surface area of the anterior MV leaflet and was not influenced by the type of anterior and/or posterior MV leaflet repair technique used. No over- or downsizing was performed in any of the patients.\nIntraoperative transoesophageal echocardiography was performed by an experienced cardiologist to document the intraoperative result of MV repair. Additionally, predischarge transthoracic echocardiography (performed on postoperative day 4–7) was performed to exclude any significant residual MR. Systolic anterior motion was observed in 2 patients and treated conservatively. Oral anticoagulation was initiated for a period of 3 months with a target Internationalized Normalized Ratio of 2.0–3.0. In presence of other indications, the target Internationalized Normalized Ratio range and treatment duration were adjusted accordingly.","divisions":[{"label":"title","span":{"begin":0,"end":41}},{"label":"p","span":{"begin":42,"end":637}},{"label":"p","span":{"begin":638,"end":966}}],"tracks":[{"project":"testtesttest","denotations":[{"id":"T36","span":{"begin":67,"end":69},"obj":"Body_part"},{"id":"T37","span":{"begin":127,"end":136},"obj":"Body_part"},{"id":"T38","span":{"begin":137,"end":139},"obj":"Body_part"},{"id":"T39","span":{"begin":344,"end":350},"obj":"Body_part"},{"id":"T40","span":{"begin":480,"end":489},"obj":"Body_part"},{"id":"T41","span":{"begin":490,"end":492},"obj":"Body_part"},{"id":"T42","span":{"begin":601,"end":617},"obj":"Body_part"},{"id":"T43","span":{"begin":618,"end":622},"obj":"Body_part"},{"id":"T44","span":{"begin":768,"end":775},"obj":"Body_part"},{"id":"T45","span":{"begin":797,"end":799},"obj":"Body_part"},{"id":"T46","span":{"begin":862,"end":871},"obj":"Body_part"},{"id":"T47","span":{"begin":872,"end":874},"obj":"Body_part"},{"id":"T48","span":{"begin":1102,"end":1104},"obj":"Body_part"}],"attributes":[{"id":"A36","pred":"uberon_id","subj":"T36","obj":"http://purl.obolibrary.org/obo/UBERON_0002135"},{"id":"A37","pred":"uberon_id","subj":"T37","obj":"http://purl.obolibrary.org/obo/UBERON_0001353"},{"id":"A38","pred":"uberon_id","subj":"T38","obj":"http://purl.obolibrary.org/obo/UBERON_0002135"},{"id":"A39","pred":"uberon_id","subj":"T39","obj":"http://purl.obolibrary.org/obo/UBERON_0000479"},{"id":"A40","pred":"uberon_id","subj":"T40","obj":"http://purl.obolibrary.org/obo/UBERON_0001353"},{"id":"A41","pred":"uberon_id","subj":"T41","obj":"http://purl.obolibrary.org/obo/UBERON_0002135"},{"id":"A42","pred":"uberon_id","subj":"T42","obj":"http://purl.obolibrary.org/obo/UBERON_0002494"},{"id":"A43","pred":"uberon_id","subj":"T43","obj":"http://purl.obolibrary.org/obo/UBERON_0000033"},{"id":"A44","pred":"uberon_id","subj":"T44","obj":"http://purl.obolibrary.org/obo/UBERON_0002416"},{"id":"A45","pred":"uberon_id","subj":"T45","obj":"http://purl.obolibrary.org/obo/UBERON_0002135"},{"id":"A46","pred":"uberon_id","subj":"T46","obj":"http://purl.obolibrary.org/obo/UBERON_0001353"},{"id":"A47","pred":"uberon_id","subj":"T47","obj":"http://purl.obolibrary.org/obo/UBERON_0002135"},{"id":"A48","pred":"uberon_id","subj":"T48","obj":"http://purl.obolibrary.org/obo/UBERON_0002135"},{"subj":"T36","pred":"source","obj":"testtesttest"},{"subj":"T37","pred":"source","obj":"testtesttest"},{"subj":"T38","pred":"source","obj":"testtesttest"},{"subj":"T39","pred":"source","obj":"testtesttest"},{"subj":"T40","pred":"source","obj":"testtesttest"},{"subj":"T41","pred":"source","obj":"testtesttest"},{"subj":"T42","pred":"source","obj":"testtesttest"},{"subj":"T43","pred":"source","obj":"testtesttest"},{"subj":"T44","pred":"source","obj":"testtesttest"},{"subj":"T45","pred":"source","obj":"testtesttest"},{"subj":"T46","pred":"source","obj":"testtesttest"},{"subj":"T47","pred":"source","obj":"testtesttest"},{"subj":"T48","pred":"source","obj":"testtesttest"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"testtesttest","color":"#93ecde","default":true}]}]}}