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The Alfieri Stitch: The Advantages for Mitral Valve Repair in Difficult Circumstances
Author(s) -
Sherlock Katrina E.,
Muthuswamy Ganapathy,
Basu Rahul,
Mitchell Ian M.
Publication year - 2011
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.1540-8191.2011.01295.x
Subject(s) - medicine , calcification , mitral valve replacement , mitral valve , mitral regurgitation , cardiology , mitral annulus , mitral valve repair , surgery , annulus (botany) , valve replacement , cardiopulmonary bypass , blood pressure , diastole , stenosis , botany , biology
In certain complex cases, where there is severe calcification of the mitral annulus but significant mitral regurgitation or systolic anterior motion (SAM), or in high‐risk cases where prolonged bypass is to be avoided, the Alfieri‐stitch repair of the mitral valve may be the most appropriate option available, particularly as it can be performed quickly through the aortic valve. We describe three cases undergoing aortic valve replacement, in which this technique was successfully applied in patients in whom more conventional repair techniques or valve replacement would have been hazardous, due to annular calcification and patient frailty. (J Card Surg 2011; 26:475‐477)