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