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Ann Thorac Surg 1994;57:387-390
© 1994 The Society of Thoracic Surgeons


Articles

Repair of commissural prolapse by extended leaflet sliding

Lex A. van Herwerden, MD, PhD*,a,b, Meindert A. Taams, MD, PhDa,b, Egbert Bos, MD, PhDa,b

a Cardiopulmonary Surgery and Cardiology, Thorax Center Dykzigt Hospital Rotterdam, The Netherlands
b Erasmus University, Rotterdam, The Netherlands

Accepted for publication April 29, 1993.

* Address reprint requests to Dr Van Herwerden, Dykzigt Hospital BD 156. Dr.Molewaterplein 40, 3015 GD 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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