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J Thorac Cardiovasc Surg 2009;137:1568-1570
© 2009 The American Association for Thoracic Surgery

Brief Communication

A novel technique for treatment of mitral valve prolapse/flail

Goran Panic, MD*, Miljko Ristic, MD, PhD, Svetozar Putnik, MD, Dejan Markovic, MD, Ivan Divac, MD, Uros U. Babic, MD, PhD

Department of Cardiac Surgery, Institute for Cardiovascular Diseases, Clinical Center of Serbia, Belgrade, Serbia

Received for publication July 4, 2008; revisions received August 9, 2008; accepted for publication August 15, 2008.

* Address for reprints: Goran Panic, MD, Department of Cardiac Surgery, Institute for Cardiovascular Diseases Clinical Center of Serbia, Belgrade, 11000 Serbia. (Email: bsanja@Eunet.yu).

The first 20% of the full text of this article appears below.

Mitral valve repair with artificial chordae is a widely accepted procedure for the majority of patients with degenerative mitral regurgitation (MR), rendering good long-term results.1Go A new technique for the treatment of extensive mitral prolapse/flail is described herein.

Clinical Summary

After median sternotomy, cardiopulmonary bypass is established between the right atrium and the aorta. The pericardium is opened, and the apex is elevated with stay sutures. A purse-string suture is placed onto the posterior aspect of the left ventricular (LV) apex. The LV apex is punctured with the Seldinger technique through the string suture, and an 8F introducer sheath is placed into the LV cavity. After cross-clamping of the aorta and normothermic cardioplegia, the left atrium (LA) is opened in the usual manner. Two double-armed pledgeted 2-0 Prolene sutures (Ethicon, Somerville, NJ) are passed through the prolapsed/flail leaflet segment and traversed through the LV sheath out of the left ventricle. The heart is deaired, the LA is closed, and the aortic crossclamp is removed. A custom-made polymer . . . [Full Text of this Article]






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