Repair of prolapsed anterior mitral leaflet has remained technically difficult. The purpose of this study was to assess the clinical results after using the flip-over technique for patients with anterior mitral leaflet prolapse due to dhordal rupture or elongation. Between January 1993 and September 1997, fifteen adult patients with pure mitral valve regurgitation (MR) due to prolapse of the anterior mitral leaflet underwent repair using the flip-over technique. The indication for this procedure were; 1) all mitral structures except the prolapsed area must appear to be intact, and 2) the corresponding chordae attached to the posterior leaflet should be sufficiently strong to be transferred to the anterior leaflet. The prognoses following this technique were retrospectively studied to assess the early and mid-term clinical outcome of this procedure. Follow up was complete in all patients and ranged from 2 to 56 months (with a mean of 25 ± 17.9 months). There was no hospital death, None required reoperation. One patient died because of acute recurrent MR during follow-up. No other complication was experienced. Doppler echocardiographic studies at the final follow-up showed less than mild regurgitation in 11 (78.6%) of the 14 surviving patients. We believe that this procedure was effective for that the obtained repair of a prolapsed anterior mitral valve and early and mid-term clinical outcome from this procedure has been satisfactory.
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Carpentier A: Cardiac valve surgery-the “French correction”. J Thorac Cardiovasc Surg 86: 323–337, 1983
Duran CG: Repair of anterior mitral leaflet chordal rupture or elongation (The flip over technique). Cardiac Surg 1: 161–166, 1986
Deloche A, Jebara VA, Relland JYM, Chauvaud S, Fabiani JN, Perier P, Dreyfus G, Mihaileanu S, Carpentier A: Valve repair with Carpentier techniques. The second decade. J Thorac Cardiovasc Surg 99: 990–1002, 1990
David TE, Bos J, Rakowski H: Mitral valve repair by replacement of chordae tendineae with polytetrafluoroethylene sutures. J Thorac Cardiovasc Surg 101: 495–501, 1991
48: 628–637, 1995
Uva MS, Grare P, Jebara V, Fuzelier JF, Portoghese M, Acar C, Relland J, Mihaileanu S, Fabiani JN, Carpentier A: Transposition of chordae in mitral valve repair. Midterm results. Circulation 88 [part 2]: II–35-II–38, 1993
Carpentier A, Deloche A, Dauptain J, Soyer R, Blondeau P, Piwnica A, Dubost C: A new reconstructive operation for correction of mitral and tricuspid insufficiency. J Thorac Cardiovasc Surg 61: 1–13, 1971
David TE, Komeda M, Pollick C, Burns RJ: Mitral valve annuloplasty. The effect of the type on left ventricular function. Ann Thorac Surg 47: 524–528, 1989
Warfarin 26–31, 1996
Kasegawa H, Kamata S, Hirata S, Kobayashi N, Mannouji E, Ida T, Kawase M: Simple method for determining proper length of artificial chordae in mitral valve repair. Ann Thorac Surg 57: 237–241, 1994
Zussa C, Polesel E, Rocco F, Valfrè, C: Artificial chordae in the treatment of anterior mitral leaflet pathology. Cardiovascular Surgery 5: 125–128, 1997
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Kamohara, K., Sakata, R., Nakayama, Y. et al. Mital valve regurgitation with anterior mitral leaflet chordal rupture or elongation —Repair using the flip over technique—. Jpn J Thorac Caridovasc Surg 46, 695–700 (1998). https://doi.org/10.1007/BF03217804
- Mitral Valve
- Mitral Valve Repair
- Anterior Leaflet
- Posterior Leaflet
- Mitral Valve Regurgitation