Anterior Mitral Valve Leaflet Prolapse

  • Narain Moorjani
  • Bushra S. Rana
  • Francis C. Wells


A 63 year-old man presented with a prolonged history of increasing exertional dyspnoea associated with lethargy. He had no history of rheumatic fever or infective endocarditis. He was being followed up with serial echocardiography over several years with known mitral regurgitation.


Anterior mitral valve leaflet prolapse Chordal replacement Chordal transposition Posterior leaflet ‘flip-over’ Leaflet resection Leaflet plication ‘Edge-to-edge’ technique Papillary muscle repositioning Gore-Tex neo-chordae 

Recommended Reading

  1. Kasegawa H, Shimokawa T, Shibazaki I, Hayashi H, Koyanagi T, Ida T. Mitral valve repair for anterior leaflet prolapse with expanded polytetraflu- oroethylene sutures. Ann Thorac Surg. 2006;81:1625–31.CrossRefGoogle Scholar
  2. Morimoto H, Tsuchiya K, Nakajima M, Akashi O. Mitral valve repair for anterior leaflet prolapse: surgical techniques review and 16-year follow-up results. J Card Surg. 2008;23:426–30.CrossRefGoogle Scholar
  3. Pfannmüller B, Seeburger J, Davierwala P, Mohr FW. Repair of the anterior mitral leaflet prolapse. Expert Rev Med Devices. 2014;11(1):89–100.CrossRefGoogle Scholar
  4. Phillips MR, Daly RC, Schaff HV, Dearani JA, Mullany CJ, Orszulak TA. Repair of anterior leaflet mitral valve prolapse: chordal replacement versus chordal shortening. Ann Thorac Surg. 2000;69:25–9.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  • Narain Moorjani
    • 1
  • Bushra S. Rana
    • 2
  • Francis C. Wells
    • 1
  1. 1.Department of Cardiothoracic SurgeryRoyal Papworth HospitalCambridgeUK
  2. 2.Department of CardiologyRoyal Papworth HospitalCambridgeUK

Personalised recommendations