title: Reinforced edge-to-edge commissural closure with mitral valvuloplasty.
abstract: A variety of techniques has been used to repair prolapse of the commissure of the mitral valve. However, the application of these techniques may be technically challenging. A simple edge-to-edge suture approximation of anterior and posterior mitral leaflets is an effective way of restoring mitral valve competence. We use this technique with "spaghetti" for reinforcement, and annuloplasty for repair of the prolapse. We have recognized it to be a simple, durable, and reproducible technique for repair of prolapse of the mitral valve commissure.
authors.affiliation: Department of Cardiac Surgery, Asahi General Hospital, Chiba, Japan. higux@blue.ocn.ne.jp
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Higuchi
authors.forename: Kenzi
authors.initials: K
authors.lastname: Koseni
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Inaba
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Osawa
authors.forename: Osamu
authors.initials: O
authors.lastname: Kinoshita
authors.forename: Shinichi
authors.initials: S
authors.lastname: Takamoto
mesh_terms: D002315:Cardiopulmonary Bypass; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000601:surgery; D008945:Mitral Valve Prolapse / Q000601:surgery*; D013536:Suture Techniques