title: Surgical treatment of commissural prolapse: case report and review of the options.
abstract: Repair of commissural prolapse associated with chordal rupture may represent a challenging problem for the cardiac surgeon. The case of a patient with chronic mitral regurgitation and prolapse of the posterior commissural area associated with chordal rupture is presented. A technique was proposed that involved partial resection of the degenerative leaflet segment, plication of the posterior annulus and chordal transfer to create a neocommissure. An analysis of the options available for surgical treatment of commissural prolapse is included.
authors.affiliation: Quebec Heart Institute, Laval Hospital, Sainte-Foy, Québec, Canada. patrick.mathieu@chg.ulaval.ca
authors.forename: Patrick
authors.initials: P
authors.lastname: Mathieu
authors.forename: François
authors.initials: F
authors.lastname: Dagenais
authors.forename: Josée Ignacio
authors.initials: JI
authors.lastname: Saez De Ibarra
authors.forename: Richard
authors.initials: R
authors.lastname: Baillot
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000601:surgery*