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Ottavio Alfieri
Francesco Maisano
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Ann Thorac Surg 2005;79:474
© 2005 The Society of Thoracic Surgeons

INVITED COMMENTARY

Ottavio Alfieri, MD, Francesco Maisano, MD

Division of Cardiac Surgery, San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy

The first 20% of the full text of this article appears below.

A new useful application of the edge-to-edge (E2E) technique is described in this article by Mascagni and colleagues. Four patients affected with mitral regurgitation due to prolapse of the posterior leaflet from chordal rupture had mitral valve repair and developed postrepair systolic anterior motion and left ventricular outflow tract obstruction that were refractory to volume expansion and medical treatment with ß-blockers. All four patients had redundancy of the anterior leaflet as seen in Barlow's disease. Surprisingly, 2 of these patients received a sliding plasty as part of the repair in an . . . [Full Text of this Article]







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