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Title

Mitral valve insufficiency: suspension of the posterior leaflet to the mitral annuloplasty ring
Authors
Sierra, Jorge
Lahlaïdi, Nadia H.
Christenson, Jan
Kalangos, Afksendiyos
Published in Annals of Thoracic Surgery. 2008, vol. 85, no. 2, p. e6-8
Abstract Mitral valve insufficiency in rheumatic heart disease is often due to retracted posterior chordae and posterior leaflet thickening. Several surgical repair techniques have been described, but sometimes an acceptable coaptation of the mitral leaflets can not be achieved. Rather than accept a mitral regurgitation or resort to a mitral valve replacement, particularly in children, we have added a suspension of the posterior leaflet directly to the annuloplasty ring. This additional surgical repair technique was performed in 10 patients with a perfect coaptation of the mitral leaflets with immediate results and excellent mid-term results, without evidence of either mitral regurgitation, mitral valve stenosis, or leaflet abrasion due to the suspension sutures.
Keywords Adolescent — Adult — Cardiac Surgical Procedures/methods — Child — Child Preschool — Chordae Tendineae/surgery — Cohort Studies — Echocardiography Transesophageal — Female — Follow-Up Studies — Humans — Male — Mitral Valve/surgery — Mitral Valve Insufficiency/etiology/surgery/ultrasonography — Rheumatic Heart Disease/complications/diagnosis/surgery — Risk Assessment — Severity of Illness Index — Suture Techniques — Treatment Outcome
Identifiers
PMID: 18222224
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Structures
Faculté de médecine / Section de médecine clinique / Département de chirurgie
Research group Chirurgie cardio-vasculaire (105)
Citation
(ISO format) 		SIERRA, Jorge et al. Mitral valve insufficiency: suspension of the posterior leaflet to the mitral annuloplasty ring. In: Annals of Thoracic Surgery, 2008, vol. 85, n° 2, p. e6-8. https://archive-ouverte.unige.ch/unige:845

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Deposited on : 2009-02-18

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