title: Double triangular resection for a widely prolapsed posterior mitral leaflet.
abstract: A wide and redundant prolapse of the posterior mitral leaflet in active infective endocarditis cannot be easily repaired. A sliding plasty can be attempted, but the range of annular plication is often too large. Chordal replacement is another option, but is prone to long-term degeneration because the redundant leaflet still exists. Here, we describe a simple resection technique that utilizes only two small triangular resections. The resections are sutured with no need to shorten the annulus. The leaflet tissue between the two triangular resections must be preserved to make an appropriately shaped posterior leaflet.
authors.affiliation: Department of Cardiovascular Surgery, Heart Valve Center, Komaki City Hospital, Aichi, Japan. sawamasa7007bb@nifty.com
authors.forename: Masaru
authors.initials: M
authors.lastname: Sawazaki
authors.forename: Shiro
authors.initials: S
authors.lastname: Tomari
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Tsunekawa
authors.forename: Naoto
authors.initials: N
authors.lastname: Izawa
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D058386:Mitral Valve Annuloplasty / Q000379:methods*; D008945:Mitral Valve Prolapse / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D034361:Streptococcus mitis / Q000302:isolation & purification; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents