Current concepts in Barlow’s valve reconstruction

Several techniques are currently in use for mitral valve reconstruction. We report a mitral repair case in which the use of a combination of different surgical techniques resulted in the necessary correction. A 47-year-old woman underwent surgical intervention to treat severe mitral valve insufficiency due to A1/A2/A3 and P2 prolapsed valve tissue. A combination of quadrangular resection, sliding leaflet, single chordal transposition, "flip-over" leaflet, and ring annuloplasty techniques were applied, and postsurgical correct valve function was documented by results of a left ventricular saline filling test and transesophageal echocardiography control. Complex mitral valve repairing techniques can be combined to reestablish valvular function.

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Facing with Limited Options in the Failing Aortic Valve of the Young: Validity of Aortic Cusp Extension Valvuloplasty and Valve Reconstruction

Cardiology Research and Cardiovascular Medicine ◽

10.29011/2575-7083.000001 ◽

2016 ◽

Vol 1 (1) ◽

Author(s):

Anastasios C Polimenakos ◽

Michel N Ilbawi

Keyword(s):

Aortic Valve ◽

Aortic Cusp ◽

Valve Reconstruction

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Results of the Aortic Valve Reconstruction in Children

Case Medical Research ◽

10.31525/ct1-nct04162444 ◽

2019 ◽

Author(s):

Keyword(s):

Aortic Valve ◽

Valve Reconstruction

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Evolving Techniques for the Achievement of Optimal Long-Term Results After Tetralogy of Fallot Repair

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135120968103 ◽

2021 ◽

Vol 12 (1) ◽

pp. 116-123

Author(s):

Giovanni Stellin ◽

Alvise Guariento ◽

Vladimiro L. Vida

Keyword(s):

Tetralogy Of Fallot ◽

Balloon Dilatation ◽

Pulmonary Valve ◽

Long Term Results ◽

Complex Congenital Heart Disease ◽

Valve Reconstruction ◽

Valve Annulus ◽

Teaching Cases ◽

Tetralogy Of Fallot Repair

Several techniques designed to improve long-term results after repair of tetralogy of Fallot are described. We have recently embarked on a program focused on preserving the native pulmonary valve. Here, combined techniques are described in detail, including intraoperative pulmonary valve balloon dilatation, pulmonary valve reconstruction by delamination and resuspension of the leaflets, and pulmonary valve annulus augmentation. As with any other complex congenital heart disease, senior surgeons should select teaching cases, starting from the less severe side of the spectrum.

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