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Ann Thorac Surg 2004;77:1857-1859
© 2004 The Society of Thoracic Surgeons

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How to do it

Overlapping annuloplasty of the mitral valve in children

^a Departments of Cardiovascular Surgery, University Hospital, Zurich, Switzerland
^b Anesthesia, University Hospital, Zurich, Switzerland

Accepted for publication July 8, 2003.

^* Address reprint requests to Dr Prêtre, Department of Cardiovascular Surgery, University Hospital, 100 Ramistrasse, 8091 Zurich, Switzerland
e-mail: rene.pretre{at}usz.ch

Presented at the Video Session of the Thirty-ninth Annual Meeting of The Society of Thoracic Surgeons, San Diego, CA, Jan 31–Feb 2, 2003.

Harmonious reduction of the posterior annulus of the mitral valve can be a useful adjunct to obtain complete valve competence in case of annular dilatation. We present a technique with the use of two resorbable sutures that overlap over the middle third of the posterior annulus that was used in 10 children with good short-term results. Resorption of the sutures should permit subsequent normal growth of the mitral valve. If the primary cause of valvular regurgitation was corrected, it can be expected that the repair will remain stable after resorption of the sutures.

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