title: Longitudinal plication of the posterior leaflet in myxomatous disease of the mitral valve.
abstract: In selected cases, resection of a prolapsing scallop of the posterior leaflet (generally P2) is not advisable because of the excessive length of insertion of the scallop. In such cases, insertion of artificial chordae is advisable, but the height of the scallop needs to be reduced. We used longitudinal plication of the scallop(s) in which the height was excessive with "U" sutures in 11 consecutive patients. Early and intermediate echocardiographic results were fully satisfying, and we expect that the morphologic aspect of the repaired mitral valve will remain stable after a longer follow-up.
authors.affiliation: Division of Cardiac Surgery, University Hospital, Turin, Italy. calafiore@unich.it
authors.forename: Antonio M
authors.initials: AM
authors.lastname: Calafiore
authors.forename: Michele
authors.initials: M
authors.lastname: Di Mauro
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Actis-Dato
authors.forename: Angela Lorena
authors.initials: AL
authors.lastname: Iacò
authors.forename: Paolo
authors.initials: P
authors.lastname: Centofanti
authors.forename: Piero
authors.initials: P
authors.lastname: Forsennati
authors.forename: Francesco
authors.initials: F
authors.lastname: Patanè
authors.forename: Lorena
authors.initials: L
authors.lastname: Di Gioacchino
mesh_terms: D006348:Cardiac Surgical Procedures; D002815:Chordae Tendineae / Q000601:surgery; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery; D008945:Mitral Valve Prolapse / Q000473:pathology / Q000601:surgery*; D013536:Suture Techniques