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

This Article Full Text Full Text (PDF) 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 Author home page(s): Eugene A. Grossi Aubrey C. Galloway Klaus Kallenbach Jeffrey S. Miller Rick Esposito Daniel S. Schwartz Stephen B. Colvin Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Grossi, E. A. Articles by Colvin, S. B. Search for Related Content PubMed PubMed Citation Articles by Grossi, E. A. Articles by Colvin, S. B.

Ann Thorac Surg 1998;65:1057-1059
© 1998 The Society of Thoracic Surgeons

Early Results of Posterior Leaflet Folding Plasty for Mitral Valve Reconstruction

^a Division of Cardiothoracic Surgery, Department of Surgery, New York University Medical Center, New York, New York USA

Accepted for publication November 10, 1997.

Address reprint requests to Dr Grossi, Department of Surgery, New York University Medical Center, 530 First Ave, Suite 9V, New York, NY 10016
e-mail: (grossi{at}cv.med.nyu.edu)

Background. Standard reconstruction for posterior mitral leaflet (PML) disease is quadrangular resection and annular plication; when the PML is excessively high, a sliding plasty is used. We have developed an alternative technique, a posterior leaflet folding plasty. It is performed by folding down the cut vertical edges of the PML. The central height of the PML is reduced, leaflet coaptation is moved posteriorly, and annular plication is unnecessary.

Methods. From March 1995 to August 1996, 26 (17.9%) of 145 patients undergoing mitral reconstruction had a posterior leaflet folding plasty. Concomitant procedures included anterior leaflet resection or resuspension and myotomy and myectomy. In 3 patients, the PML resection extended to a commissure.

Results. There was one death and no reoperations. The mean New York Heart Association class was improved from 2.4 preoperatively to 1.4. There was no major postoperative mitral insufficiency in the 26 patients. Systolic anterior motion was transiently seen in 1 patient in whom left ventricular outflow tract obstruction was present preoperatively.

Conclusions. The data demonstrate the safety and short-term efficacy of posterior leaflet folding plasty. This technique may help avoid systolic anterior motion after reconstruction of the PML.

This article has been cited by other articles:

				J. Ender, J. Koncar-Zeh, C. Mukherjee, S. Jacobs, M. A. Borger, C. Viola, M. Gessat, J. Fassl, F. W. Mohr, and V. Falk Value of Augmented Reality-Enhanced Transesophageal Echocardiography (TEE) for Determining Optimal Annuloplasty Ring Size During Mitral Valve Repair Ann. Thorac. Surg., November 1, 2008; 86(5): 1473 - 1478. [Abstract] [Full Text] [PDF]

				M. Brown and H. Schaff Reply to the Editor J. Thorac. Cardiovasc. Surg., July 1, 2007; 134(1): 266 - 266. [Full Text] [PDF]

				H. Morimoto, K. Tsuchiya, M. Nakajima, O. Akashi, and K. Kato Mitral Valve Repair for Extended Commissural Prolapse Involving Complex Prolapse Asian Cardiovasc Thorac Ann, June 1, 2007; 15(3): 210 - 213. [Abstract] [Full Text] [PDF]

				M. L. Brown, M. D. Abel, R. L. Click, R. G. Morford, J. A. Dearani, T. M. Sundt, T. A. Orszulak, and H. V. Schaff Systolic anterior motion after mitral valve repair: Is surgical intervention necessary? J. Thorac. Cardiovasc. Surg., January 1, 2007; 133(1): 136 - 143. [Abstract] [Full Text] [PDF]

				A. M. Calafiore, M. Di Mauro, G. Actis-Dato, A. L. Iaco, P. Centofanti, P. Forsennati, F. Patane, and L. Di Gioacchino Longitudinal plication of the posterior leaflet in myxomatous disease of the mitral valve. Ann. Thorac. Surg., May 1, 2006; 81(5): 1909 - 1910. [Abstract] [Full Text] [PDF]

				A. M. Calafiore, M. Di Mauro, A. L. Iaco, V. Mazzei, G. Teodori, S. Gallina, L. Weltert, M. Samoun, and G. Di Giammarco Overreduction of the Posterior Annulus in Surgical Treatment of Degenerative Mitral Regurgitation Ann. Thorac. Surg., April 1, 2006; 81(4): 1310 - 1316. [Abstract] [Full Text] [PDF]

				A. Macnab, N. P Jenkins, B. J.M Bridgewater, T. L Hooper, D. L Greenhalgh, M. R Patrick, and S. G Ray Three-dimensional echocardiography is superior to multiplane transoesophageal echo in the assessment of regurgitant mitral valve morphology Eur J Echocardiogr, June 1, 2004; 5(3): 212 - 222. [Abstract] [Full Text] [PDF]

				M. Nakajima, K. Tsuchiya, H. Inoue, K. Kobayashi, E. Mizutani, and K. Takizawa Leaflet folding plasty combined with annular plication for mitral valve repair Ann. Thorac. Surg., March 1, 2004; 77(3): 1103 - 1104. [Abstract] [Full Text] [PDF]

				J. S. Raman, R. Gupta, P. Shah, R. Setty, and K. Tambara Double-breasted repair of the posterior mitral valve leaflet Ann. Thorac. Surg., December 1, 2002; 74(6): 2206 - 2207. [Abstract] [Full Text] [PDF]

				C.-K. Ng, J. Nesser, C. Punzengruber, O. Pachinger, J. Auer, H. Franke, and P. Hartl Valvuloplasty with glutaraldehyde-treated autologous pericardium in patients with complex mitral valve pathology Ann. Thorac. Surg., January 1, 2001; 71(1): 78 - 85. [Abstract] [Full Text] [PDF]

				E. A. Grossi, A. LaPietra, R. M. Applebaum, G. H. Ribakove, A. C. Galloway, F. G. Baumann, P. Ursomanno, B. M. Steinberg, and S. B. Colvin Case report of robotic instrument-enhanced mitral valve surgery J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1169 - 1171. [Full Text] [PDF]