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The Annals of Thoracic Surgery, Vol 57, 387-390, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Repair of commissural prolapse by extended leaflet sliding

LA van Herwerden, MA Taams and E Bos
Thorax Center Dykzigt Hospital, Erasmus University, Rotterdam, The Netherlands.

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.


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