Document Detail


Mitral valve repair for broad, asymmetrical prolapse in the posterior mitral leaflet.
MedLine Citation:
PMID:  18340515     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We designed a mitral valve repair and successfully performed this repair for a case of broad, asymmetrical prolapse in the middle scallop of the posterior mitral leaflet. The repair procedure consists of making a fan-shaped leaflet by resecting the prolapsed portion in a trapezoid shape with detachment of the leaflet along the annulus and leaflet reapproximation by rotating this fan-shaped leaflet. This technique can utilize more leaflet tissue for filling the gap made by leaflet resection than the quadrangular resection and suture technique. As a result, it helps reduce tension on the suture lines, avoids the need for extensive annular plication, and also avoids leaflet distortion while making it easier to adjust the height of the leaflets that should be reapproximated. The essence of this mitral valve repair exists in the "resecting line of the leaflet," which has not yet been reported.
Authors:
Masaru Yoshikai; Hiroyuki Ohnishi; Manabu Itoh; Ryou Noguchi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-14
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  56     ISSN:  1863-6705     ISO Abbreviation:  -     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-14     Completed Date:  2008-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  137-9     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Shin-Koga Hospital, 120 Tenjin-cho, Kurume, Fukuoka, 830-8577, Japan. myoshi@toq.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiac Surgical Procedures*
Female
Humans
Mitral Valve / surgery*
Mitral Valve Prolapse / surgery*
Suture Techniques

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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