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Repair of commissural prolapse by extended leaflet sliding
L A van Herwerden1, M A Taams, E Bos
1Thorax Center Dykzigt Hospital, Erasmus University, Rotterdam, The Netherlands.
The Annals of Thoracic Surgery
|February 1, 1994
Abstract:
Three patients had chronic mitral regurgitation due to commissural chorda rupture with commissural prolapse. Two of them had myxomatous valve disease and 1 had fibroelastic deficiency. Characteristic intraoperative epicardial and transesophageal echocardiographic findings are demonstrated. A technique is proposed that involves creating a new commissure and avoiding annular plication by extended sliding plasty and rotating the posterior mitral leaflet.