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Simplifying Mitral Valve Repair: Leaflet Imbrication

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Abstract

The operative repair of degenerative mitral valve disease has evolved significantly since the development of the highly reproducible and durable Carpentier quadrangular resection via median sternotomy. Minimally invasive and robotic techniques have become widely adopted. Leaflet preserving and remodeling repair techniques are also gaining popularity. Efficient and effective mitral repair techniques that facilitate minimally invasive surgical approaches are highly valued. One rapid technique, that of inverting a portion of prolapsed leaflet tissue into the left ventricle yields a highly mobile and functional residual leaflet that participates fully in coaptation and leaves a large total mitral orifice area. This technique is herein described in detail along with accompanying tips and pitfalls specifically applicable to robotic repair.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Stanford University, 300 Pasteur, Drive CV-235, Palo Alto, CA, USA

    Y. Joseph Woo MD

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  1. Y. Joseph Woo MD
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Correspondence to Y. Joseph Woo MD .

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Editors and Affiliations

  1. East Carolina Heart Institute, Greenville, North Carolina, USA

    W. Randolph Chitwood, Jr.

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© 2014 Springer-Verlag London

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Woo, Y.J. (2014). Simplifying Mitral Valve Repair: Leaflet Imbrication. In: Chitwood, Jr., W. (eds) Atlas of Robotic Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6332-9_13

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  • DOI: https://doi.org/10.1007/978-1-4471-6332-9_13

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6331-2

  • Online ISBN: 978-1-4471-6332-9

  • eBook Packages: MedicineMedicine (R0)

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