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Eugenio Neri
Dimitrios Buklas
Gerard Babatasi
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Ann Thorac Surg 2005;79:1787-1789
© 2005 The Society of Thoracic Surgeons

How to do it

Repair of Aortic Leaflet Prolapse: The "Sliding Leaflet Technique"

Massimo Massetti, MDa,*, Eugenio Neri, MDa, Dimitrios Buklas, MDa, Gerard Babatasi, MDa, Olivier Le Page, MDa, Jean Louis Gerard, MD, André Khayat, MDa

a Thoracic and Cardiovascular Surgery, University Hospital, Caen, France

Accepted for publication December 29, 2003.

* Address reprint requests to Dr Massetti, Department of Thoracic and Cardiovascular Surgery, University Hospital, 14033 Caen Cedex, France
massetti-m{at}chu-caen.fr

Valve-preserving aortic replacement has become an accepted therapeutic option for aortic dilatation with normal valve leaflets. The presence of a leaflet prolapse often induces the choice of a composite graft repair. In these cases, however, the repair of a leaflet prolapse is possible and represents a valuable alternative to a prosthetic valve. The conventional techniques of repair of a cusp prolapse are designed to restore coaptation through a reduction of free margin length. The sliding leaflet technique is an alternative procedure conceived to repair the prolapsed valve cusp by remodeling both the free margin and the annular insertion.




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