Abstract
We designed a mitral valve repair and successfully performed this repair for a case of broad, asymmetrical prolapse in the middle scallop of the posterior mitral leaflet. The repair procedure consists of making a fan-shaped leaflet by resecting the prolapsed portion in a trapezoid shape with detachment of the leaflet along the annulus and leaflet reapproximation by rotating this fan-shaped leaflet. This technique can utilize more leaflet tissue for filling the gap made by leaflet resection than the quadrangular resection and suture technique. As a result, it helps reduce tension on the suture lines, avoids the need for extensive annular plication, and also avoids leaflet distortion while making it easier to adjust the height of the leaflets that should be reapproximated. The essence of this mitral valve repair exists in the “resecting line of the leaflet,” which has not yet been reported.
Similar content being viewed by others
References
Carpentier A, Relland J, Deloche A, Fabiani JN, D’Allaines C, Blondeau P, et al. Conservative management of the prolapsed mitral valve. Ann Thorac Surg 1978;26:294–302.
Perier P, Clausnizer B, Mistarz K. Carpentier “sliding leaflet” technique for repair of the mitral valve: early results. Ann Thorac Surg 1994;57:383–386.
Grossi EA, Galloway AC, Kallenbach K, Miller JS, Esposito R, Schwartz DS, et al. Early results of posterior leaflet folding plasty for mitral valve reconstruction. Ann Thorac Surg 1998;65:1057–1059.
Yoshikai M, Kamohara K, Yunoki J, Fumoto H. Mitral valve repair for a broad prolapse in the high posterior leaflet. Kyobu Geka 2003;56:847–850 (in Japanese).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yoshikai, M., Ohnishi, H., Itoh, M. et al. Mitral valve repair for broad, asymmetrical prolapse in the posterior mitral leaflet. Gen Thorac Cardiovasc Surg 56, 137–139 (2008). https://doi.org/10.1007/s11748-007-0199-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-007-0199-2