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Ann Thorac Surg 2003;75:298-300
© 2003 The Society of Thoracic Surgeons

How to do it

Modified technique for mitral repair without ring annuloplasty

Clifford W. Barlow, FRCS (C/Th)a, Ziad A. Ali, MB, ChB (Hons)b, Eric Lim, MRCSb, John B. Barlow, MRCPc, Francis C. Wells, FRCS*b

a Department of Cardiothoracic Surgery, Southampton General Hospital, Southampton, United Kingdom
b Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, United Kingdom
c Department of Cardiology, University of the Witwatersrand, Johannesburg, South Africa

Accepted for publication June 20, 2002.

* Address reprint requests to Mr Wells, Department of Cardiothoracic Surgery, Papworth Hospital NHS Trust, Papworth Everard, Cambridgeshire, England CB3 8RE, United Kingdom
e-mail: francis.wells{at}papworth-tr.anglox.nhs.uk

Mitral valve repair is the procedure of choice to correct mitral regurgitation. Most operative techniques use an annuloplasty ring to provide stability and durability to the correction. We present a modification of existing repair techniques, without the use of an annuloplasty ring, in which plication sutures allow both annular remodeling and stability. Clinical and echocardiographic follow-up in our series of 60 patients with a mean follow-up of 29 months is presented.




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