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The imbrication technique: an alternative to the sliding leaflet technique
Peter W Hashim1, Roland Assi1, Sabet W Hashim1
1Section of Cardiac Surgery, Yale University School of Medicine, New Haven, Connecticut.
The Annals of Thoracic Surgery
|September 7, 2014
Summary
Systolic anterior motion (SAM) is a common mitral valve repair complication. A new imbrication technique reliably prevents SAM without leaflet resection, successfully used in 124 high-risk patients.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Repair
- Mitral Valve Disease
Background:
- Systolic anterior motion (SAM) is a frequent and challenging complication following mitral valve repair surgery.
- Current prevention strategies, like the sliding leaflet technique, involve posterior leaflet resection but have limitations in efficacy and technical execution.
Purpose of the Study:
- To introduce and evaluate a novel imbrication technique for preventing systolic anterior motion during mitral valve repair.
- To offer an alternative approach that avoids the complexities and potential drawbacks of traditional leaflet resection methods.
Main Methods:
- Development and application of a novel imbrication technique for mitral valve repair.
- Prospective implementation of the technique in a cohort of patients identified as high-risk for SAM.
Main Results:
- The imbrication technique demonstrated reliable prevention of systolic anterior motion.
- The procedure was successfully applied to 124 consecutive high-risk patients, indicating feasibility and effectiveness.
Conclusions:
- The presented imbrication technique offers a reliable and effective method for preventing SAM in mitral valve repair.
- This approach provides a valuable alternative to leaflet resection, potentially improving outcomes for high-risk patients.
