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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 8/2020

01-08-2020 | Mitral Valve Stenosis | How to Do It

Modified commissural plication in mitral valve repair for commissural prolapse

Authors: Hiroshi Nakanaga, Minoru Tabata

Published in: General Thoracic and Cardiovascular Surgery | Issue 8/2020

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Abstract

Commissural plication is a simple and useful technique for commissural prolapse repair. However, simple plication may not work when the diseased commissure is thick or calcified. In such cases, we incise the commissure towards the annulus and bring two separate parts of the commissural leaflet back together by sewing the atrial sides of each part. This modified commissural plication technique is still very simple and effective even for thick or calcified commissural lesions because it minimizes tension on the commissural sutures.
Literature
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Tabata M, Hiraiwa N, Kawano Y, Nakatsuka D, Hoshino S. A simple, effective, and inexpensive technique for exposure of papillary muscles in minimally invasive mitral valve repair: wakka technique. Ann Thorac Surg. 2015;100:e59–61.CrossRef
2.
Tabata M, Kasegawa H, Fukui T, Shimizu A, Sato Y, Takanashi S. Long-term outcomes of artificial chordal replacement with tourniquet technique in mitral valve repair; a single-center experience of 700 cases. J Thorac Cardiovasc Surg. 2014;148:2033–8.CrossRef
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Gillinov AM, Shortt KG, Cosgrove DM 3rd. Commissural closure for repair of mitral commissural prolapse. Ann Thorac Surg. 2005;80:1135–6.CrossRef
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Lapennna E, De Bonis M, Sorrentino F, La Canna G, Grimaldi A, Torracca L, Maisano F, Alfieri O. Commissural closure for the treatment of commissural mitral valve prolapse or flail. J Heart Valve Dis. 2008;17:261–6.
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Shimizu A, Kasegawa H, Tabata M, Fukui T, Takanashi S. Long-term outcomes of mitral valve repair for isolated commissural prolapse: up to 17-year experience. Ann Thorac Surg. 2015;99:43–7.CrossRef
Metadata
Title
Modified commissural plication in mitral valve repair for commissural prolapse
Authors
Hiroshi Nakanaga
Minoru Tabata
Publication date
01-08-2020
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 8/2020
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-020-01319-0

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