An effective technique to correct anterior mitral leaflet prolapse.
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.
Alfieri
O
O
Division of Cardiac Surgery, IRCCS Ospedale San Raffaele, Milan, Italy. ottavio.alfieri@hsr.it
Maisano
F
F
D002815:Chordae Tendineae / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000601:surgery; D008945:Mitral Valve Prolapse / Q000601:surgery*; D012422:Rupture, Spontaneous; D013536:Suture Techniques