Double triangular resection for a widely prolapsed posterior mitral leaflet†

Long-term assessment of mitral valve reconstruction with resection of the leaflets: triangular and quadrangular resection.

BACKGROUND The procedure of quadrangular resection and suture for prolapsed posterior leaflet of the mitral valve is a reliable and reproducible method that achieves excellent long-term results. However, triangular resection and suture of a prolapsed anterior leaflet is not widely supported and different techniques have been advocated. The aim of this study was to review our experience of mitra...

Idiopathic prolapsed mitral leaflet syndrome. Angiographic-clinical correlations.

Angiographic clinical correlations were made in 59 patients with prolapsed mitral leaflet syndrome. Eight had nonejection systolic clicks (group I), 20 had early, mid or late systolic murmurs with or without a systolic click (group II), and 31 had pansystolic murmurs (group III). Isolated prolapse of posterior leaflet (PL) scallops occurred in 42 and 17 had combined leaflet prolapse. The study ...

Congenital mitral insufficiency with cleft posterior leaflet.

Repair of Mitral Valve Using Triangular Resection of Anterior Leaflet & Annuloplasty Ring

Various surgical techniques have been described for the repair of mitral valve with or without using an annuloplasty ring depending upon the pathological changes. Isolated prolapse of the anterior mitral leaflet with severe mitral regurgitation is relatively uncommon compared to prolapse of the posterior mitral leaflet. The technique commonly used is edge-to-edge repair, Chordal transfer and sh...

Haircut mitral valve repair: posterior leaflet-plasty.

A 63-year-old man presented with symptomatic severe mitral regurgitat ion. Both trans-esophageal 3-D echocardiography and operative linear measurements showed a 25 mm long A2 anterior leaflet with a very wide (23 mm) prolapsing 30 mm long P2 posterior mid-scallop (Figure 1A,B). P1 and P3 were diminutive in height and width (Figure 2). A ‘haircut’ posterior leaflet-plasty was done to maintain le...