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Ann Thorac Surg 2006;81:1550
© 2006 The Society of Thoracic Surgeons

Correspondence

Anterior Mitral Leaflet Plication

Paul L. DiGiorgi, MD, Eugene A. Grossi, MD, Stephen B. Colvin, MD

New York University School of Medicine, 530 First Ave, Suite 9-V, New York, NY 10016

(Email: grossi{at}cv.med.nyu.edu).

To the Editor

We enjoyed reading the description of the series of triangular anterior leaflet plications performed by Seitelberger and colleagues [1]. We prefer to employ this technique when the anterior segment requiring adjustment is too small to require a formal anterior leaflet resection, such as when there is a minor segmental prolapse of the anterior leaflet. However, we feel obliged to note that this is not an entirely new procedure. In 1992 McIntosh and colleagues [2] published a series of anterior leaflet plications performed via the aortic root in association with septal myotomy and myectomy. Likewise Alvarez and colleagues [3] described plication of a flail anterior leaflet in 1993.


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  1. Seitelberger R, Bialy J, Gottardi R, et al. Triangular plication of the anterior mitral leafleta new operative technique. Ann Thorac Surg 2004;78:e36-e37.[Abstract/Free Full Text]
  2. McIntosh CL, Maron BJ, Cannon 3rd RO, et al. Initial results of combined anterior mitral leaflet plication and ventricular septal myotomy-myectomy for relief of left ventricular outflow tract obstruction in patients with hypertrophic cardiomyopathy Circulation 1992;86:II60-II67.
  3. Alvarez JM, Choon C, Gray D, et al. Repair of the anterior mitral leaflet Aust NZ J Med 1993;23:279-284.[Medline]

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Rainald Seitelberger
Ann. Thorac. Surg. 2006 81: 1550-1551. [Extract] [Full Text] [PDF]



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Ann. Thorac. Surg., April 1, 2006; 81(4): 1550 - 1551.
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