Repair of aortic leaflet prolapse: the "sliding leaflet technique".
Valve-preserving aortic replacement has become an accepted therapeutic option for aortic dilatation with normal valve leaflets. The presence of a leaflet prolapse often induces the choice of a composite graft repair. In these cases, however, the repair of a leaflet prolapse is possible and represents a valuable alternative to a prosthetic valve. The conventional techniques of repair of a cusp prolapse are designed to restore coaptation through a reduction of free margin length. The sliding leaflet technique is an alternative procedure conceived to repair the prolapsed valve cusp by remodeling both the free margin and the annular insertion.
Massetti
Massimo
M
Thoracic and Cardiovascular Surgery, University Hospital, Caen, France. massetti-m@chu-caen.fr
Neri
Eugenio
E
Buklas
Dimitrios
D
Babatasi
Gerard
G
Le Page
Olivier
O
Gerard
Jean Louis
JL
Khayat
André
A
D001011:Aorta / Q000601:surgery; D001023:Aortic Valve Prolapse / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods; D003331:Coronary Vessels / Q000601:surgery; D017548:Echocardiography, Transesophageal; D006350:Heart Valve Prosthesis; D006801:Humans