A Complex Mitral Valve Reconstruction: A Case Report

  • Dimitrios Buklas
  • Massimo Massetti
  • Eric Saloux
  • Eugenio Neri
  • Olivier LePage
  • Calin Ivascau
  • Gerard Babatasi
  • Andrè Khayat

Abstract

Several techniques are currently in use for mitral valve reconstruction. We report a mitral repair case in which the use of a combination of different surgical techniques resulted in the necessary correction. A 47-year-old woman underwent surgical intervention to treat severe mitral valve insufficiency due to A1/A2/A3 and P2 prolapsed valve tissue. A combination of quadrangular resection, sliding leaflet, single chordal transposition, "flip-over" leaflet, and ring annuloplasty techniques were applied, and postsurgical correct valve function was documented by results of a left ventricular saline filling test and transesophageal echocardiography control. Complex mitral valve repairing techniques can be combined to reestablish valvular function.

References

Carpentier A. 1983. Cardiac valve surgery--"The French Correction." J Thorac Cardiovasc Surg 86:323-37.\nGalloway AC, Colvin SB, Baumann FG, et al. 1998. Long-term results of mitral valve reconstruction using Carpentier techniques in 148 patients with mitral insufficiency. Circulation 78(Suppl I):97-105.\nGillinov MA, Cosgrove D. 2001. Mitral valve repair for degenerative dis>ease. J Heart Valve Dis 11(Suppl 1):S15-20.\n
Published
2005-02-02
Section
Articles

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