title: [Mitral valve repair using Alfieri technique: necessary indication in a case].
abstract: Carpentier techniques for valve repair remain our first choice to deal with mitral insufficiency. This case is of a 65 years old woman scheduled for mitral valvuloplasty. Using conventional procedure was prevented by unfavourable anatomic conditions (lack of papillary muscles with chordaes supported by several tiny trabeculations). As an alternative to valve replacement (required in these instances), we performed mitral valvuloplasty according to Alfieri technique. Postoperative outcome was uneventful. Ultrasonographic assessment at 2 months showed competent mitral valve with no residual stenosis. Unless its late results are well defined, this new technique shall be used only in particular cases.
authors.affiliation: Service de chirurgie cardio-vasculaire, hôpital La Rabta, Tunis.
authors.forename: Adel
authors.initials: A
authors.lastname: Khayati
authors.forename: Ahmed
authors.initials: A
authors.lastname: Bouokkez
authors.forename: Khelifa
authors.initials: K
authors.lastname: Selmi
authors.forename: Imed
authors.initials: I
authors.lastname: Khanfir
authors.forename: Rachid
authors.initials: R
authors.lastname: Boujnah
authors.forename: Abdelfettah
authors.initials: A
authors.lastname: Abid
mesh_terms: D000368:Aged; D004417:Dyspnea / Q000209:etiology; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D018579:Patient Selection; D016896:Treatment Outcome