Off-Pump NeoChord Mitral Valve Repair to Simultaneously Treat Posterior Leaflet Prolapse and Systolic Anterior Motion

2017 ◽  
Vol 103 (1) ◽  
pp. e29-e30 ◽  
Author(s):  
Stefano Salizzoni ◽  
Matteo Marro ◽  
Chiara Rovera ◽  
Giovanni Speziali ◽  
Mauro Rinaldi
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Systolic Anterior Motion ◽  
Posterior Leaflet ◽  
Valve Repair ◽  
Off Pump ◽  
Leaflet Prolapse

Butterfly technique in mitral valve repair

2020 ◽  
Vol 28 (7) ◽  
pp. 413-415
Author(s):  
Tohru Asai
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Valve Repair ◽  
Systolic Anterior Motion ◽  
Posterior Leaflet ◽  
Valve Repair ◽  
Free Margin ◽  
Leaflet Prolapse

Degenerative mitral regurgitation due to posterior leaflet prolapse is often associated with tissue redundancy in the leaflet height and free margin of the prolapsing segment. The butterfly technique has been introduced for focal resection to precisely control the leaflet height without annular plication. This technique is indicated for a high prolapsing leaflet, greater than 20 mm. With intraoperative measurement of leaflet heights and ink dot marking as a depth indicator, the butterfly technique can be safely performed in most high posterior leaflet prolapse cases, without increasing the risk of systolic anterior motion.

scholarly journals Similar long-term results of mitral valve repair for anterior compared with posterior leaflet prolapse

2006 ◽  
Vol 131 (2) ◽  
pp. 364-370 ◽  
Author(s):  
Michele De Bonis ◽  
Roberto Lorusso ◽  
Elisabetta Lapenna ◽  
Samer Kassem ◽  
Giuseppe De Cicco ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Long Term Results ◽  
Posterior Leaflet ◽  
Valve Repair ◽  
Leaflet Prolapse

Mitral valve repair for posterior leaflet prolapse: Long‐term comparison of loop implantation vs resection

2019 ◽  
Vol 35 (1) ◽  
pp. 11-20 ◽  
Author(s):  
Ayse Cetinkaya ◽  
Stephanie Bär ◽  
Stefan Hein ◽  
Karin Bramlage ◽  
Peter Bramlage ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Posterior Leaflet ◽  
Valve Repair ◽  
Leaflet Prolapse

Mitral valve repair for posterior leaflet prolapse and annular dilatation

ASVIDE ◽  
2019 ◽  
Vol 6 ◽  
pp. 178-178
Author(s):  
Jules R. Olsthoorn ◽  
Samuel Heuts ◽  
Jean Daemen ◽  
Jos Maessen ◽  
Peyman Sardari Nia
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Posterior Leaflet ◽  
Valve Repair ◽  
Annular Dilatation ◽  
Leaflet Prolapse

A Novel Design of Posterior Leaflet Butterfly Resection for Mitral Valve Repair

2011 ◽  
Vol 6 (1) ◽  
pp. 54-56 ◽  
Author(s):  
Tohru Asai ◽  
Takeshi Kinoshita ◽  
Osamu Nishimura ◽  
Atsushi Kambara ◽  
Tomoaki Suzuki ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Hospital Mortality ◽  
Transesophageal Echocardiography ◽  
Systolic Anterior Motion ◽  
Posterior Leaflet ◽  
Valve Repair ◽  
Target Segment ◽  
Novel Design ◽  
Leaflet Prolapse

A new design for posterior leaflet resection, “butterfly resection,” is proposed. It is a combination of two triangular resections in the prolapsing posterior leaflet segment. This method minimizes resection in the target segment, and it prevents systolic anterior motion by reducing the height of the posterior leaflet according to the amount of excess tissue. We have used this technique for 60.4% (29 of 48) of posterior leaflet prolapse cases with zero hospital mortality and no morbidity. Postbypass transesophageal echocardiography identified no more than mild regurgitation and no sign of systolic anterior motion. During 13.1 ± 6.8 months of follow-up, patients neither died nor needed reoperation.

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