Related Experiment Video
Updated: May 13, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Partial anterior leaflet valvuloplasty to avoid systolic anterior motion after mitral valve repair
Zain Khalpey1, Stanton K Shernan, Luigino Nascimben
1Division of Cardiac Surgery, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. zkhalpey@surgery.arizona.edu
Abstract:
Systolic anterior motion (SAM) of the mitral apparatus and consequent obstruction of the left ventricular outflow tract is a known complication of mitral valve repair (MVREP). The edge-to-edge technique has been advocated for the repair of myxomatous mitral valves to avoid SAM. We present a new technique to prevent SAM in patients with a redundant lateral segment of the anterior leaflet by folding its elongated portion underneath the body of the anterior leaflet.
Related Concept Videos
Mitral Stenosis III: Medical Management
Mitral Regurgitation III: Medical Management
Mitral Valve Prolapse II: Assessment and Management
Mitral Valve Prolapse I: Introduction
Mitral Valve Prolapse III: Nursing Management
Aortic Regurgitation III: Medical Management

