title: Partial anterior leaflet valvuloplasty to avoid systolic anterior motion after mitral valve repair.
abstract: Systolic anterior motion (SAM) of the mitral apparatus and consequent obstruction of the left ventricular outflow tract is a known complication of mitral valve repair (MVREP). The edge-to-edge technique has been advocated for the repair of myxomatous mitral valves to avoid SAM. We present a new technique to prevent SAM in patients with a redundant lateral segment of the anterior leaflet by folding its elongated portion underneath the body of the anterior leaflet.
authors.affiliation: Division of Cardiac Surgery, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. zkhalpey@surgery.arizona.edu
authors.forename: Zain
authors.initials: Z
authors.lastname: Khalpey
authors.forename: Stanton K
authors.initials: SK
authors.lastname: Shernan
authors.forename: Luigino
authors.initials: L
authors.lastname: Nascimben
authors.forename: Sary F
authors.initials: SF
authors.lastname: Aranki
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D013599:Systole