title: Technique to avoid left ventricular outflow tract obstruction.
abstract: Preserving the subvalvular mitral valve apparatus during mitral valve replacement is extremely important to minimize progressive postoperative left ventricular remodeling and dysfunction. We describe a simple and reproducible surgical technique that prevents the complications that can occur after total mitral anterior leaflet preservation.
authors.affiliation: Department of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain javgua@hotmail.com.
authors.forename: Javier
authors.initials: J
authors.lastname: Gualis
authors.affiliation: Department of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain.
authors.forename: Mario
authors.initials: M
authors.lastname: Castaño
authors.affiliation: Department of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain.
authors.forename: Jose Manuel
authors.initials: JM
authors.lastname: Martínez-Comendador
mesh_terms: D001705:Bioprosthesis; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000503:physiopathology / Q000601:surgery*; D011474:Prosthesis Design; D016896:Treatment Outcome; D014694:Ventricular Outflow Obstruction / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*
keywords: Heart valve prosthesis implantation; Mitral valve; Ventricular function; Ventricular outflow obstruction; left