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Ann Thorac Surg 2005;79:720-722
© 2005 The Society of Thoracic Surgeons


How to do it

A Technique for Annular Plication to Facilitate Sliding Plasty After Extensive Mitral Valve Posterior Leaflet Resection

Thierry Mesana, MD, PhDa,*, Moheb Ibrahim, FRCSCa, Mark Hynes, FRCPCb

a Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
b Division of Cardiac Anesthesia, University of Ottawa Heart Institute, Ottawa, Ontario, Canada

Accepted for publication November 21, 2003.

* Address reprint requests to Dr Mesana, Division of Cardiac Surgery, University of Ottawa Heart Institute, 40 Ruskin St, Ottawa, Ontario, Canada K1Y 4W7
tmesana{at}ottawaheart.ca

The sliding leaflet technique has been used in mitral valve repair in conjunction with posterior leaflet quadrangular resection to avoid left ventricular outflow tract obstruction secondary to systolic anterior motion of the anterior leaflet of the mitral valve. On occasion, despite the use of the sliding leaflet technique, reattachment of the edges of the posterior leaflet after extensive resection can be challenging because of excessive tension. My colleagues and I present our technique to ensure reattachment of the posterior leaflet without tension after extensive resection.




This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
T. G. Mesana, M. Ibrahim, A. Kulik, M. Ruel, K. Dover, D. Nicholson, and M. Hynes
The "Hybrid Flip-Over" Technique for Anterior Leaflet Prolapse Repair
Ann. Thorac. Surg., January 1, 2007; 83(1): 322 - 323.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
A. DeAnda Jr and J. S. Ikonomidis
Sliding Plasty for Extensive Resection of the Posterior Mitral Leaflet
Ann. Thorac. Surg., October 1, 2005; 80(4): 1563 - 1563.
[Full Text] [PDF]




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