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Updated: Jan 14, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Robotic annular plication for repair of posterior mitral leaflet prolapse
Paul Cullen1, Tarek Malas1, Marc Gillinov1
1Department of Thoracic and Cardiovascular Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA.
Abstract:
Annular plication is a fundamental technique in mitral valve repair, forming a core component of classic quadrangular resection by enabling tension-free re-approximation of the cut leaflet edges. While smaller resections are more commonly performed in the current era, annular plication remains essential in selected cases. We describe a modification of the originally described technique that allows efficient, accurate application while preserving its underlying surgical principles.
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