HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Perier, P. Articles by Clausnizer, B. Search for Related Content PubMed PubMed Citation Articles by Perier, P. Articles by Clausnizer, B.

Ann Thorac Surg 1995;59:56-59
© 1995 The Society of Thoracic Surgeons

Isolated Cleft Mitral Valve: Valve Reconstruction Techniques

Herz und Gefäss Klinik, Bad Neustadt/Saale, Germany

Accepted for publication June 22, 1994.

Reports concerning an isolated cleft of the anterior mitral valve are rare. This congenital anomaly of the mitral valve is usually repaired by suturing the edges of the cleft. We report 4 cases of isolated anterior mitral cleft. The patients ranged in age from 13 to 41 years. The clinical symptoms were those typical of mitral insufficiency. In all 4 patients, preoperative echocardiography was able to establish the exact anatomic diagnosis. In 1 patient, the cleft was directly sutured, whereas, in the other 3 patients, a fibrous reaction of the edges of the cleft with a subsequent lack of valvular tissue made direct suture technically impossible. Instead, the fibrous edges of the cleft were resected and the anterior leaflet of the mitral valve was reconstructed using an autologous pericardial patch pretreated with buffered glutaraldehyde. All 4 patients underwent annuloplasty together with placement of a Carpentier mitral ring. Postoperative echocardiograms have confirmed good results of the repair; 1 patient has a trivial insufficiency and 3 have a completely competent mitral valve.

This article has been cited by other articles:

				S. Abadir, V. Fouilloux, D. Metras, O. Ghez, B. Kreitmann, and A. Fraisse Isolated cleft of the mitral valve: distinctive features and surgical management. Ann. Thorac. Surg., September 1, 2009; 88(3): 839 - 843. [Abstract] [Full Text] [PDF]

				A. Amin, M. Davis, and A. Auseon Isolated cleft posterior mitral valve leaflet: an uncommon cause of mitral regurgitation Eur J Echocardiogr, January 1, 2009; 10(1): 173 - 174. [Abstract] [Full Text] [PDF]

				A. Timoteo, A. Galrinho, A. Fiarresga, L. Branco, N. Banazol, A. Leal, J. Fragata, and J. Quininha Isolated cleft of the anterior mitral valve leaflet Eur J Echocardiogr, January 1, 2007; 8(1): 59 - 62. [Abstract] [Full Text] [PDF]

				S. Mohammadi, S. Bergeron, P. Voisine, and D. Desaulniers Mitral Valve Cleft in Both Anterior and Posterior Leaflet: An Extremely Rare Anomaly Ann. Thorac. Surg., December 1, 2006; 82(6): 2287 - 2289. [Abstract] [Full Text] [PDF]

				A. Fraisse, T. A. Massih, B. Kreitmann, D. Metras, P. Vouhe, D. Sidi, and D. Bonnet Characteristics and management of cleft mitral valve J. Am. Coll. Cardiol., December 3, 2003; 42(11): 1988 - 1993. [Abstract] [Full Text] [PDF]

				S. Van Praagh, D. Porras, G. Oppido, T. Geva, and R. Van Praagh Cleft mitral valve without ostium primum defect: anatomic data and surgical considerations based on 41 cases Ann. Thorac. Surg., June 1, 2003; 75(6): 1752 - 1762. [Abstract] [Full Text] [PDF]

				K. Kirali, D. Mansuroglu, Y. Ozen, N. U. Bozbuga, A. Tuncer, M. E. Toker, M. Sismanoglu, and C. Yakut Mitral Clefts and Interatrial Septum Defects: 15-Year Results Asian Cardiovasc Thorac Ann, June 1, 2003; 11(2): 135 - 138. [Abstract] [Full Text] [PDF]

				M. Tamura, S. Menahem, and C. Brizard Clinical features and management of isolated cleft mitral valve in childhood J. Am. Coll. Cardiol., March 1, 2000; 35(3): 764 - 770. [Abstract] [Full Text] [PDF]

				N. G. Smedira, C. C. Hlozek, and P. M. McCarthy Mechanical Support After Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 1998; 2(1): 66 - 77. [Abstract] [PDF]

				K. Minami, L. Arusoglu, T. Koyanagi, A. El-Banayosy, M. M. Korner, and R. Korfer Successful Implantation of Thoratec Assist Device: Wrapping of Outflow Conduit in Hemashield Graft Ann. Thorac. Surg., September 1, 1997; 64(3): 861 - 862. [Abstract] [Full Text]

				A. El-Banayosy, H. Posival, K. Minami, L. Arusoglu, L. Kizner, T. Breymann, D. Seifert, M. Korner, H. Kortke, O. Fey, et al. Mechanical circulatory support: lessons from a single centre Perfusion, March 1, 1996; 11(2): 93 - 102. [Abstract] [PDF]