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An Effective Technique to Correct Anterior Mitral Leaflet Prolapse
Author(s) -
Alfieri Ottavio,
Maisano Francesco
Publication year - 1999
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1999.tb01280.x
Subject(s) - medicine , mitral regurgitation , mitral valve prolapse , leaflet (botany) , surgery , mitral valve , regurgitation (circulation) , cardiology , paleontology , biology
A bstract Up to one‐third of the patients with degenerative mitral valve disease and severe mitral regurgitation have anterior mitral valve prolapse due to chordal rupture or elongation. Surgical treatment of such a condition is often technically demanding and not infrequently associated with suboptimal results. Techniques used to treat anterior leaflet prolapse include chordal transfer, chordal shortening, artificial chordae, and anterior leaflet resection or plication. Each of these strategies has potential shortcomings, and there is considerable controversy concerning the durability of anterior leaflet prolapse repairs using these techniques. The “edge‐to‐edge” technique, a simple and effective method of correcting anterior mitral leaflet prolapse is described.