The upside-down technique.☆A novel method to correct posterior leaflet prolapse | Zendy

Francesco Maisano | Zendy; Ottavio Alfieri | Zendy

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The upside-down technique.☆A novel method to correct posterior leaflet prolapse

Author(s) -

Francesco Maisano,

Ottavio Alfieri

Publication year - 2006

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2006.03.019

Subject(s) - leaflet (botany) , anatomy , annulus (botany) , hypoplasia , medicine , transposition (logic) , resection , geology , surgery , geometry , mathematics , biology , paleontology , botany

The upside-down technique is a method for 'in situ' secondary cordae transposition for posterior leaflet lesions. The segmental prolapse of the posterior leaflet is corrected by rotating the resected segment upside-down and reattaching it to the annulus and adjacent leaflet segments. As the procedure is completed, the original annular attachment becomes the new free edge. The secondary chords, originally positioned at the base of the segment, become primary chordae. It is indicated in all cases when quadrangular resection is not feasible such as in case of calcified annulus, posterior leaflet hypoplasia, or when the prolapsing portion is wide.

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