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Thierry G. Mesana
Moheb Ibrahim
Alexander Kulik
Marc Ruel
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Ann Thorac Surg 2007;83:322-323
© 2007 The Society of Thoracic Surgeons

How To Do It

The "Hybrid Flip-Over" Technique for Anterior Leaflet Prolapse Repair

Thierry G. Mesana, MD, PhDa,*, Moheb Ibrahim, MDa, Alexander Kulik, MDa, Marc Ruel, MD, MPHa, Karen Dover, MDa, Donna Nicholson, MDb, Mark Hynes, MDb

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 March 27, 2006.

* Address correspondence to Dr Mesana, University of Ottawa Heart Institute, 40 Ruskin Street, Suite 3402, Ottawa, Ontario, K1Y 4W7 Canada (Email: tmesana{at}ottawaheart.ca).

Repair of the anterior mitral leaflet or bi-leaflet prolapse is technically more demanding than repair of the posterior mitral leaflet. Although several techniques have been proposed for the repair of anterior mitral leaflet prolapse during bi-leaflet repair, practical challenges remain, including the determination of the appropriate length for artificial chords. Herein we describe a novel and reproducible technique for bi-leaflet mitral valve repair, including those with extensive anterior mitral leaflet prolapse.






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Copyright © 2007 by The Society of Thoracic Surgeons.