title: A complex mitral valve reconstruction: a case report.
abstract: Several techniques are currently in use for mitral valve reconstruction. We report a mitral repair case in which the use of a combination of different surgical techniques resulted in the necessary correction. A 47-year-old woman underwent surgical intervention to treat severe mitral valve insufficiency due to A1/A2/A3 and P2 prolapsed valve tissue. A combination of quadrangular resection, sliding leaflet, single chordal transposition, "flip-over" leaflet, and ring annuloplasty techniques were applied, and postsurgical correct valve function was documented by results of a left ventricular saline filling test and transesophageal echocardiography control. Complex mitral valve repairing techniques can be combined to reestablish valvular function.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital Center, CHU "Còte de Nacre," Caen, France.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Buklas
authors.forename: Massimo
authors.initials: M
authors.lastname: Massetti
authors.forename: Eric
authors.initials: E
authors.lastname: Saloux
authors.forename: Eugenio
authors.initials: E
authors.lastname: Neri
authors.forename: Olivier
authors.initials: O
authors.lastname: LePage
authors.forename: Calin
authors.initials: C
authors.lastname: Ivascau
authors.forename: Gerard
authors.initials: G
authors.lastname: Babatasi
authors.forename: Andrè
authors.initials: A
authors.lastname: Khayat
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D013536:Suture Techniques