Posterior leaflet preservation in mitral valve prolapse: a new approach to mitral repair.
The most common repair technique for P2 prolapse is quadrangular resection of the posterior leaflet associated with a plication of the mitral annulus or with a sliding plasty. Although effective, these techniques do not respect the anatomy of the mitral valve, especially the physiological role of the posterior leaflet. Herein is described another technique which does not include P2 removal, thus preserving the posterior leaflet mobility. This technique represents a new approach to mitral valve repair that respects the motion of the two leaflets, allowing a more physiological opening of the mitral valve.
Dreyfus
Gilles D
GD
Department of Cardiothoracic Surgery, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Harefield, Middlesex, UK. g.dreyfus@rbh.nthames.nhs.uk
Corbi
Pierre
P
Rubin
Sylvain
S
Aubert
Stéphane
S
D000368:Aged; D001794:Blood Pressure; D006348:Cardiac Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D005500:Follow-Up Studies; D006801:Humans; D007432:Intraoperative Period; D008875:Middle Aged; D008943:Mitral Valve / Q000033:anatomy & histology* / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000601:surgery*; D008955:Models, Cardiovascular; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome