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Ann Thorac Surg 2007;84:306-308
© 2007 The Society of Thoracic Surgeons

How To Do It

"Z-Plasty Suture": A New Procedure for Complex Reconstructions of Posterior Mitral Leaflet

Renato Bellitti, MDa, Pasquale Santé, MD, FETCSa,*, Giovanni Dialetto, MDa, Franco E. Covino, MDa, Diana Iarussi, MDb, Gaetana Messina, MDb, Lucio Maresca, MDa

a General Cardiac Surgery Department, Monaldi Hospital, University of Naples II, Naples, Italy
b Cardiology Department, Monaldi Hospital, University of Naples II, Naples, Italy

Accepted for publication September 1, 2006.

* Address correspondence to Dr Santé, Cardiothoracic Surgery Department, Monaldi Hospital, University of Naples II, Naples, Via G. Gigante no 7, Naples, 80136, Italy (Email: pasquale.sante{at}fastwebnet.it).

In recent years the conservative techniques to treat degenerative mitral valve insufficiency have developed to such an extent mainly due to a better understanding of the physiology and pathology of the mitral valve and to the possibility to get predictable and satisfactory results. Still a challenge persists for the cardiac surgeon when he has to deal with complex reconstructions. The technique described seems to offer an even better surgical option for patients with complex lesions involving the posterior mitral leaflet, especially as far as the hemodynamic performance is concerned.




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Home page
 Ann. Thorac. Surg.Home page
E. B. Savage
Z-Plasty: New or Folding-Plasty Redux
Ann. Thorac. Surg., June 1, 2008; 85(6): 2161 - 2161.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. Bellitti and P. Sante
Reply.
Ann. Thorac. Surg., June 1, 2008; 85(6): 2161 - 2161.
[Full Text] [PDF]


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