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Updated: Aug 10, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Technique of mitral valve replacement with the Monostrut prosthesis preserving the posterior leaflet
1Cardiac Surgery Service, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Background And Aim Of The Study:
Techniques of mitral valve replacement with leaflet and chordal preservation normally involve the use of a bioprosthesis or bileaflet valve to reduce the risk of obstruction of the prosthesis by the retained subvalvular apparatus.
Methods:
The technique of mitral valve replacement with the Monostrut prosthesis and with preservation of the posterior leaflet is described. The stitches are placed in such a manner that the posterior leaflet is folded under the posterior aspect of the prosthetic ring.
Results And Conclusions:
The technique allows safe implantation of the Monostrut valve. The excellent performance of this prosthesis can be therefore combined with the beneficial effects of chordal preservation on left ventricular function.
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