Severe recurrent mitral regurgitation (MR) within 1 year of mitral valve
repair is usually attributed to a technical issue with the original
repair procedure. However, when artificial chordae are employed to
correct mitral valve prolapse, ventricular remodeling (i.e. decreased
ventricular size) can lead to recurrent prolapse and valve dysfunction.
To highlight this phenomena, we present 2 patients who experienced early
failure after undergoing mitral valve repair with artificial chordae.