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Ann Thorac Surg 2004;78:e36-e37
© 2004 The Society of Thoracic Surgeons

How to do it

Triangular plication of the anterior mitral leaflet: a new operative technique

Rainald Seitelberger, MDa*, Jan Bialy, MDa, Roman Gottardi, MDa, Wilfried Wisser, MDa, Ernst Wolner, MDa

a Department of Cardiothoracic Surgery, Allgemeines Krankenhaus Wien, Vienna, Austria

Accepted for publication December 29, 2003.

* Address reprint requests to Dr Seitelberger, Allgemeines Krankenhaus Wien, Abteilung Herz-Thoraxchirurgie, Waehringerguertel 18-20, A-1090 Vienna, Austria
e-mail: seitel{at}magnet.at

This study describes the technique of triangular plication in patients with mitral valve incompetence that is due to segmental anterior leaflet prolapse. A nonabsorbable suture plicates the prolapsed leaflet area towards the ventricular aspect in a triangular fashion by decreasing the suture width towards the leaflet base. Because no leaflet tissue is resected, this technique allows for the intraoperative correction of an imperfect plication. Triangular plication was successful in all except one patient. In this patient, a failed repair was corrected with mitral valve replacement. Freedom from mitral valve incompetence of more than grade 0–I was 100% at 12 months and 86% at 36 months postoperatively.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
P. L. DiGiorgi, E. A. Grossi, and S. B. Colvin
Anterior Mitral Leaflet Plication
Ann. Thorac. Surg., April 1, 2006; 81(4): 1550 - 1550.
[Full Text] [PDF]

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 Ann. Thorac. Surg.Home page
R. Seitelberger
Reply
Ann. Thorac. Surg., April 1, 2006; 81(4): 1550 - 1551.
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