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A three-step technique for repair of rheumatic disease of the mitral valve*

Published online by Cambridge University Press:  29 December 2014

Matthew P. Thomas  and
Vinay Badhwar
Matthew P. Thomas
Affiliation:
Center for Mitral Valve Disease, Heart and Vascular Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
Vinay Badhwar*
Affiliation:
Center for Mitral Valve Disease, Heart and Vascular Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
*
Correspondence to: V. Badhwar, MD, Center for Mitral Valve Disease, Heart and Vascular Institute, University of Pittsburgh, Presbyterian Hospital, 200 Lothrop Street, Suite C700, Pittsburgh, PA 15213, United States of America. Tel: +412 648 6314; Fax: +412 692 2184; E-mail: [email protected]
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Abstract:

This manuscript presents a technically straightforward technique to allow for mitral valve repair in the patient with rheumatic mitral stenosis. This non-resection technique allows for the correction of both mitral stenosis and regurgitation without requiring complex subvalvar procedures and eliminates the concerns for postoperative systolic anterior motion. The authors feel this three-part technique of bi-commissural release, anterior leaflet augmentation, and oversized annuloplasty may allow for a more reproducible approach to repair of the rheumatic mitral valve.

Keywords

Rheumatic heart diseasemitral stenosismitral repairsurgical techniques
Type
Original Article
Information
Cardiology in the Young , Volume 24 , Issue 6: HeartWeek 2014 , December 2014 , pp. 1104 - 1107
Copyright
© Cambridge University Press 2014 

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Footnotes

*

Presented at All Children’s Hospital Johns Hopkins Medicine 14th International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, 15–18 February 2014, Special Focus: Diseases of the Cardiac Valves from the Fetus to the Adult, Co-Sponsor: The American Association for Thoracic Surgery (AATS).

References

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