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Valve replacement seems to be the most straightforward option for patients with mitral valve (MV) pathology. However, this approach is connected with all the intrinsic side effects of mechanical or biological valve implantation, including susceptibility to infection, thrombosis and degeneration. Thus, a reconstructive surgery has been recognized as the best option for the majority of patients including children. Many repair techniques have been developed to address mitral valve insufficiency (MI) in case of congenital, ischemic and infective pathologies. The majority of procedures concern the posterior mitral leaflet (PML) and the posterior annulus as well as commissures. The techniques regarding anterior mitral leaflet (AML) and anterior annulus are less frequently utilized in clinical practice as there is a concern of possible distortion of the aortic valve, narrowing of left ventricle outflow tract and unpredictable long-term MV function. Nevertheless, certain interventions on AML were introduced with acceptable results to treat MV systolic anterior motion, degenerative MV disease or Barlow disease (3, 7). Infective and congenital pathologies in children necessitate a search for an alternative reconstructive approach when all procedures utilizing implants (e.g. artificial chordae, pericardial patches) or an operaPartial anterior mitral leaflet resection with adjacent ring plication – feasibility pilot study