Abstract
The repair of the prolapse mitral valve, particularly with the usual anatomic arrangement of an elongated P2 can be very simply, safely, and effectively corrected by a folding plasty. In this technique there is no resection of the valve leaflet and there is no leaflet advancement. The repair is simply a large monofilament suture which takes the edge of the elongated segment of valve and brings it back and under the valve and attaches it to the annulus, thus decreasing the prolapse P2 by half the height with one or two simple sutures. This has proven to be a very effective technique when there is an elongated P2 and no ruptured chords. The early and medium long-term results are quite satisfactory with this technique, provided of course that the usual attention is paid to an annuloplasty.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Carpentier A, Relland J, Deloche A, Fabiani JN, D'Allaines C, Blondeau P, et al. Conservative management of the prolapsed mitral valve. Ann Thorac Surg. 1978;26:294–302.
Calafiore AM. Longitudinal plication of the posterior leaflet in myxomatous disease of the mitral valve. Ann Thorac Surg. 2009;87:2004–5.
Calafiore AM, Di Mauro M, Actis-Dato G, Iaco AL, Centofanti P, Forsennati P, et al. Longitudinal plication of the posterior leaflet in myxomatous disease of the mitral valve. Ann Thorac Surg. 2006;81:1909–10.
Mihaljevic T, Blackstone EH, Lytle BW. Folding valvuloplasty without leaflet resection: simplified method for mitral valve repair. Ann Thorac Surg. 2006;82:e46–8.
Tabata M, Ghanta RK, Shekar PS, Cohn LH. Early and midterm outcomes of folding valvuloplasty without leaflet resection for myxomatous mitral valve disease. Ann Thorac Surg. 2008;86:1388–90.
Carpentier A, Loulmet D, Aupecle B, Kieffer JP, Tournay D, Guibourt P, et al. Computer assisted open heart surgery. First case operated on with success. C R Acad Sci III. 1998;321:437–42.
Mohr FW, Falk V, Diegeler A, Walther T, Gummert JF, Bucerius J, et al. Computer-enhanced “robotic” cardiac surgery: experience in 148 patients. J Thorac Cardiovasc Surg. 2001;121:842–53.
Chitwood Jr WR, Rodriguez E, Chu MW, Hassan A, Ferguson TB, Vos PW, et al. Robotic mitral valve repairs in 300 patients: a single-center experience. J Thorac Cardiovasc Surg. 2008;136:436–41.
Cheng W, Fontana GP, De Robertis MA, Mirocha J, Czer LS, Kass RM. Is robotic mitral valve repair a reproducible approach? J Thorac Cardiovasc Surg. 2010;139:628–33.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
El Bardissi, A.W., Cohn, L.H. (2014). Leaflet Folding Plasty. In: Chitwood, Jr., W. (eds) Atlas of Robotic Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6332-9_16
Download citation
DOI: https://doi.org/10.1007/978-1-4471-6332-9_16
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-6331-2
Online ISBN: 978-1-4471-6332-9
eBook Packages: MedicineMedicine (R0)