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Ann Thorac Surg 2008;86:1388-1390. doi:10.1016/j.athoracsur.2008.04.010
© 2008 The Society of Thoracic Surgeons
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Minoru Tabata
Prem S. Shekar
Lawrence H. Cohn
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Right arrow Valve disease

How To Do It

Early and Midterm Outcomes of Folding Valvuloplasty Without Leaflet Resection for Myxomatous Mitral Valve Disease

Minoru Tabata, MD, MPH, Ravi K. Ghanta, MD, Prem S. Shekar, MD, Lawrence H. Cohn, MD*

Division of Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts

Accepted for publication April 2, 2008.

* Address correspondence to Dr Cohn, Division of Cardiac Surgery, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02446 (Email: lcohn{at}partners.org).

We performed 46 cases of folding valvuloplasty without leaflet resection for myxomatous mitral regurgitation (MR) between August 2004 and December 2006. Operative mortality was zero. No patient had greater than grade 1 MR or systolic anterior motion on intraoperative transesophageal echocardiography. In median of 17 months' follow-up, no patient had a reoperation for recurrent MR. Among 31 patients who had an echocardiographic follow-up, 28 had zero or grade 1 MR, 3 had grade 2 MR, and no patient had grade 3/4 MR. Folding valvuloplasty is a simple and effective technique for selected types of myxomatous MR with favorable outcomes and midterm echocardiographic findings.




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M. Padala, S. N. Powell, L. R. Croft, V. H. Thourani, A. P. Yoganathan, and D. H. Adams
Mitral valve hemodynamics after repair of acute posterior leaflet prolapse: quadrangular resection versus triangular resection versus neochordoplasty.
J. Thorac. Cardiovasc. Surg., August 1, 2009; 138(2): 309 - 315.
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