title: Repair of the anterior mitral leaflet prolapse.
abstract: Repair of anterior mitral leaflet prolapse is one of the most challenging aspects in mitral valve repair surgery. In this review, we discuss the various techniques developed over the past three to four decades for the repair of anterior mitral leaflet prolapse, debate the pros and cons of each and compare their results, keeping reoperation for recurrent mitral regurgitation as the focal point of follow-up. At our center, chordal replacement with artificial expanded polytetrafluoroethylene sutures in the form of premeasured loops is the most commonly used technique for repair of anterior mitral leaflet prolapse for the past decade. We recommend and provide justification for the use of this technique, especially when mitral valve repair is performed through a minimally invasive approach. We believe that the trend towards a minimally invasive approach for mitral valve repair will exponentially increase in the next 5-10 years, at least until percutaneous techniques, if at all, become more reliable and safe.
authors.affiliation: Department of Cardiac Surgery, University of Leipzig Heart Center, Struempellstrasse 39 04289 Leipzig, Germany.
authors.forename: Bettina
authors.initials: B
authors.lastname: Pfannmüller
authors.forename: Jörg
authors.initials: J
authors.lastname: Seeburger
authors.forename: Piroze
authors.initials: P
authors.lastname: Davierwala
authors.forename: Friedrich W
authors.initials: FW
authors.lastname: Mohr
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D006801:Humans; D008945:Mitral Valve Prolapse / Q000601:surgery*; D011138:Polytetrafluoroethylene; D019651:Plastic Surgery Procedures / Q000379:methods*; D013537:Sutures
chemical_list: D011138:Polytetrafluoroethylene