| A novel method of leaflet reconstruction after triangular resection for posterior mitral valve prolapse. | |
| | |
MedLine Citation:
|
PMID: 20494014 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Triangular leaflet resection to treat posterior mitral valve prolapse is expedient, sufficient, and durable in eliminating redundant myxomatous tissue and restoring normal leaflet coaptation. After triangular resection and suture reconstruction, mitral scallop height is decreased to a degree commensurate with the area of tissue resected. There are instances however, when excessive bulk of the remaining posterior leaflet may persist, predisposing to systolic anterior motion of the anterior mitral leaflet. We propose a novel adjunctive measure to normalize posterior leaflet height during suture reconstruction by ventricularizing what would otherwise have become the new tip of the posterior mitral leaflet. We have found that ventricularization of the leaflet edge during reconstruction obviates the need for excessive mitral leaflet resection, resulting in a symmetric and mobile neo-free edge that are capable of contributing to a robust zone of coaptation. |
| | |
Authors:
|
Rakesh M Suri; Harold M Burkhart; Hartzell V Schaff |
Related Documents
:
|
11300674 - Iatrogenic horner's syndrome in an experimental pig. 6881534 - The position, length and arterial supply of vermiform appendix. 7387444 - Echocardiographic evaluation of cardiac abnormalities in duchenne's dystrophy and myoto... 11908614 - The spectrum of intramyocardial small vessel disease associated with sudden death. 3974834 - Fracture of the sella turcica. 22606404 - Venous air embolism leading to cardiac arrest in an infant with cyanotic congenital hea... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 89 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2010 Jun |
Date Detail:
|
Created Date: 2010-05-24 Completed Date: 2010-06-16 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
|
Languages: eng Pagination: e53-6 Citation Subset: AIM; IM |
Copyright Information:
|
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Division of Cardiovascular Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA. suri.rakesh@mayo.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiac Surgical Procedures
/
methods Humans Middle Aged Mitral Valve Prolapse / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Ventricular Pacing Through Coronary Sinus in Patients With Tricuspid Prosthesis.
Next Document: Azygos Lobe: A Difficulty in Video-Assisted Thoracic Sympathectomy.