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Ann Thorac Surg 2002;74:602-605
© 2002 The Society of Thoracic Surgeons

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Repair of mitral valve billowing and prolapse (Barlow): the surgical technique

^a IMC—International Medical Center Krems/Hollenburg, Austria

Accepted for publication March 14, 2002.

* Address reprint requests to Dr Fasol, IMC—International Medical Center Krems, Krustettnerstrasse, A-3506 Krems/Hollenburg, Austria
e-mail: rfasol{at}IMC-hospital.com

Mitral valve repair in patients with mitral valve billowing and prolapse (Barlow) can be a demanding surgical procedure. A mitral valve repair method, which incorporates the complete resection of the middle scallop of the posterior leaflet, a sliding and folding plasty with the remaining lateral scallops combined with a triangular resection of the anterior leaflet and a ring-annuloplasty was developed, which maximizes predictable anatomic and physiologic efficacy of this repair and minimizes unpredictable results. A total of 37 consecutive patients underwent mitral repair with this method from 1996 to 1998, with consistently excellent results. Short-term follow-up information collected after 22.7 ± 8.6 months showed one late death and 93.0% of all surviving patients in New York Heart Association functional class I or II. There were no late reoperations and no thromboembolic, bleeding, or other complications. No patient had recurrent mitral regurgitation.

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