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Antonio M. Calafiore
Michele Di Mauro
Francesco Patanè
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Ann Thorac Surg 2006;81:1909-1910
© 2006 The Society of Thoracic Surgeons

How to do it

Longitudinal Plication of the Posterior Leaflet in Myxomatous Disease of the Mitral Valve

Antonio M. Calafiore, MD * , Michele Di Mauro, MD, Guglielmo Actis-Dato, MD, Angela Lorena Iacò, MD, Paolo Centofanti, MD, Piero Forsennati, MD, Francesco Patanè, MD, Lorena Di Gioacchino, MD

Division of Cardiac Surgery, University Hospital, Torino, Italy

Accepted for publication February 23, 2005.

* Address correspondence to Dr Calafiore, Division of Cardiac Surgery, S Giovanni Battista Hospital, c.so Bramante 86, Torino, Italy (Email: calafiore{at}unich.it).

In selected cases, resection of a prolapsing scallop of the posterior leaflet (generally P2) is not advisable because of the excessive length of insertion of the scallop. In such cases, insertion of artificial chordae is advisable, but the height of the scallop needs to be reduced. We used longitudinal plication of the scallop(s) in which the height was excessive with "U" sutures in 11 consecutive patients. Early and intermediate echocardiographic results were fully satisfying, and we expect that the morphologic aspect of the repaired mitral valve will remain stable after a longer follow-up.




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 Ann. Thorac. Surg.Home page
A. M. Calafiore
Longitudinal Plication of the Posterior Leaflet in Myxomatous Disease of the Mitral Valve.
Ann. Thorac. Surg., June 1, 2009; 87(6): 2004 - 2005.
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 Ann. Thorac. Surg.Home page
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T. Mihaljevic, E. H. Blackstone, and B. W. Lytle
Folding Valvuloplasty Without Leaflet Resection: Simplified Method for Mitral Valve Repair
Ann. Thorac. Surg., December 1, 2006; 82(6): e46 - e48.
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