Repair of commissural prolapse by extended leaflet sliding.

van Herwerden, L A; Taams, M A; Bos, E · Ann Thorac Surg · 1994

case_report · Level V

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Abstract

Three patients had chronic mitral regurgitation due to commissural chorda rupture with commissural prolapse. Two of them had myxomatous valve disease and 1 had fibroelastic deficiency. Characteristic intraoperative epicardial and transesophageal echocardiographic findings are demonstrated. A technique is proposed that involves creating a new commissure and avoiding annular plication by extended sliding plasty and rotating the posterior mitral leaflet.

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