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Eur J Cardiothorac Surg 2002;22:630-632
© 2002 Elsevier Science NL

How-to-do-it

Mitral valve replacement with bileaflet preservation: a modified technique

Gülhane Military Medical Academy, Cardiovascular Surgery Department, Etlk, Ankara 06010, Turkey

Received 22 January 2002; received in revised form 9 July 2002; accepted 19 July 2002.

* Corresponding author. Tel.: +90-312-326-3855; fax: +90-312-232-3038
e-mail: ekural{at}gata.edu.tr
e-mail: erkanece2000{at}yahoo.com

We present a modified bileaflet preserving mitral valve replacement technique to eliminate left ventricular outflow tract obstruction and larger size prosthesis implantation. Mitral anterior leaflet was incised from the middle of leaflet to mitral annulus. Pletgetted sutures were firstly bitten from mitral annulus and then passed from the bottom to the tip of anterior leaflet. These sutures were anchored to prosthesis. Bileaflet prosthesis was put down into the annulus and sutures were ligated on the strut of prosthesis. Posterior leaflet was also preserved. Excessive anterior leaflet tissue was attached to left atrium wall by deeply bitten sutures.

Key Words: Left ventricle outflow tract obstruction • Bileaflet preservation • Mitral valve replacement

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