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Ann Thorac Surg 2006;81:2339
© 2006 The Society of Thoracic Surgeons

Correspondence

Should Mitral Valve Prolapse, Even Though Commissural, Be Treated By Suturing Both Leaflets Together?

Gilles D. Dreyfus, MD, PhD, FRCS, Stephane Aubert, MD

Harefield Hospital, Hill and Road Harefield, Middlesex, UB9 6JH, United Kingdom

(Email: g.dreyfus@rbh.nthames.nhs.uk).

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

To the Editor:

We have read with great interest the article by Gillinov and colleagues [1], which raises many questions. Alain Carpentier [2] primarily pioneered the discipline of mitral valve repair. Long-term, good outcome has focused on three inviolate principles: (1) restoring leaflet motion without restriction, (2) creating a good surface area of leaflet coaptation, and (3) reshaping the mitral orifice.

Recent trends seem to bypass these basic principles in order to avoid the learning curve, which leads to expertise in mitral valve repair techniques. Such new philosophies as promoted in the Alfieri stitch [3] have . . . [Full Text of this Article]


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A. Marc Gillinov and Delos M. Cosgrove, III
Ann. Thorac. Surg. 2006 81: 2339-2340. [Extract] [Full Text] [PDF]



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A. M. Gillinov and D. M. Cosgrove III
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Ann. Thorac. Surg., June 1, 2006; 81(6): 2339 - 2340.
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