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Monaldi Hospital, University of Naples II, Via G. Gigante No. 7, Naples 80136, Italy
(Email: pasquale.sante@fastwebnet.it).
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To the Editor:
We are pleased to answer the letter to the editor [1] concerning our article [2], first of all because it gives us the chance to emphasize some points of our technique dealing with complex reconstructions of the posterior mitral leaflet.
When it is said: "quite a few of us ... have been using this technique for years" and: "I ... consider this an adaptation of a posterior folding plasty ... and of the double-breasted mitral valve repair technique," we think being "an adaption" means something new not previously used. The "Z-plasty
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Ann. Thorac. Surg. 2008 85: 2161.
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