Skip to main content
SpringerLink
Log in

Leaflet folding plasty for mitral valve repair

Technical application and early outcome

  • Original Article
  • Published:
The Japanese Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Objectives: Leaflet folding plasty was introduced for avoiding systolic anterior motion and coronary artery injury after mitral valve repair. We report the application and early outcome of this technique for mitral valve regurgitation. Methods: From January 1997 to January 2004,16 patients with mitral valve regurgitation were operated on using leaflet folding plasty. The group comprised 9 men and 7 women, with a mean age of 61.6 years. There were 15 patients with degenerative and 1 with ischemic mitral valve disease. The causes of mitral regurgitation were posterior mitral leaflet prolapse in 11 patients and commissural prolapse in 5 patients. Results: Mitral valve reconstruction could be performed in all patients. There were no perioperative deaths. Postoperative mitral regurgitation fell to 0.13±0.52 compared with 3.6±0.51 preoperatively. Systolic anterior leaflet motion was not observed in any patients after the procedure. The mean follow-up period was 22 months. There were no late deaths and reoperation was not required during follow-up. Conclusions: Early outcome of leaflet folding plasty for mitral valve repair was satisfactory. This technique may have advantages to accomplish mitral valve repair safely in patients with mitral regurgitation due to posterior or commissural prolapse.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. 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: 1057–9.

    Article  PubMed  CAS  Google Scholar 

  2. Carpentier A. Cardiac valve surgery: The “French correction“. J Thorac Cardiovasc Surg 1983; 86: 323–7.

    PubMed  CAS  Google Scholar 

  3. Mohty D, Orszulak TA, Schaff HV, Avierinos JF, Tajik JF, Enriquez-Sarano M. Very long-term survival and durability of mitral valve repair for mitral valve prolapse. Circulation 2001; 104 (12 Suppl 1): I-1–7.

    Article  CAS  Google Scholar 

  4. Grossi EA, Galloway AC, Parish MA, Asai T, Gindea AJ, Harty S, et al. Experience with twenty-eight cases of systolic anterior motion after mitral valve reconstruction by the Carpentier technique. J Thorac Cardiovasc Surg 1992; 103: 466–70.

    PubMed  CAS  Google Scholar 

  5. Lee KS, Stewart WJ, Lever HM, Underwood PL, Cosgrove DM. Mechanism of outflow tract obstruction causing failed mitral valve repair. Anterior displacement of leaflet coaptation. Circulation 1993; 88 (5 Pt 2): II-24–9.

    CAS  Google Scholar 

  6. Jebara VA, Mihaileanu S, Acar C, Brizard C, Grare P, Latremouille C, et al. Left ventricular outflow tract obstruction after mitral valve repair. Results of the sliding leaflet technique. Circulation 1993; 88 (5 Pt 2): 30–4.

    Google Scholar 

  7. Perier P, Clausnizer B, Mistarz K. Carpentier “sliding leaflet“ technique for repair of the mitral valve: Early results. Ann Thorac Surg 1994; 57: 383–6.

    Article  PubMed  CAS  Google Scholar 

  8. Spencer FC, Galloway AC, Grossi EA, Ribakove GH, Delianides J, Baumann FG, et al. Recent developments and evolving techniques of mitral valve reconstruction. Ann Thorac Surg 1998; 65: 307–13.

    Article  PubMed  CAS  Google Scholar 

  9. Raman JS, Gupta R, Shah P, Setty R, Tambara K. Double-breasted repair of the posterior mitral valve leaflet. Ann Thorac Surg 2002; 74: 2206–7.

    Article  PubMed  Google Scholar 

  10. Yoshikai M, Kamohara K, Yunoki J, Fumoto H. Mitral valve repair for a broad prolapse in the high posterior leaflet (Eng abstr). Kyobu Geka 2003; 56: 847–50.

    PubMed  CAS  Google Scholar 

  11. Nakajima M, Tsuchiya K, Inoue H, Kobayashi K, Mizutani E, Takizawa K. Leaflet folding plasty combined with annular plication for mitral valve repair. Ann Thorac Surg 2004; 77: 1103–4.

    Article  PubMed  Google Scholar 

  12. Kay JH, Egerton WS. The repair of mitral insufficiency associated with ruptured chordae tendineae. Ann Surg 1963; 157: 351–60.

    Article  PubMed  CAS  Google Scholar 

  13. Sutlic Z, Schmid C, Borst HG. Repair of frail anterior leaflets of tricuspid and mitral valves by cusp remodeling. Ann Thorac Surg 1990; 50: 927–30.

    Article  PubMed  CAS  Google Scholar 

  14. van Herwerden LA, Taams MA, Bos E. Repair of commissural prolapse by extended leaflet sliding. Ann Thorac Surg 1994; 57: 387–90.

    Article  PubMed  Google Scholar 

  15. Tsuchiya K, Yoshikai M, Ishitoya H, Sasaki H, Iida Y, Aizawa K. A case of sliding commissuroplasty for the chordal rupture in the paracommissural area (Eng abstr). Kyobu Geka 1992; 45: 1091–3.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Yamanashi Central Hospital, 1-1-1 Fujimi, Kofu, Yamanashi, Japan

    Masato Nakajima MD, Koji Tsuchiya MD, Kensuke Kobayashi MD, Hiroshi Amano MD & Koki Takizawa MD

Authors
  1. Masato Nakajima MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Koji Tsuchiya MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kensuke Kobayashi MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hiroshi Amano MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Koki Takizawa MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nakajima, M., Tsuchiya, K., Kobayashi, K. et al. Leaflet folding plasty for mitral valve repair. Jpn J Thorac Caridovasc Surg 53, 69–73 (2005). https://doi.org/10.1007/s11748-005-0003-0

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-005-0003-0

Key words

Search

Navigation