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Eur J Cardiothorac Surg 2007;31:550-551. doi:10.1016/j.ejcts.2006.12.004
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

How-to-do-it

Posterior transposition of anterior leaflet for complete chordal preservation

Department of Cardiac Surgery, University General Hospital of Valencia, Valencia, Spain

Received 22 September 2006; received in revised form 4 December 2006; accepted 6 December 2006.

^_* Corresponding author. Address: C/ Artes Gráficas no. 4, esc. izda, pta 3, 46010 Valencia, Spain. Tel.: +34 963622216; fax: +34 963862982. (Email: rgfuster{at}terra.com).

A method of complete chordal preservation based on posterior transposition of anterior leaflet is presented. The anterior leaflet and chordae are completely detached from the annulus and reimplanted as a large patch under the posterior leaflet. The excess tissue without chordae is excised and the remnant with all the chordae is plicated by sutures used to implant the prosthesis. The posterior leaflet is left intact. The technique is safe and reproducible and no complications related with the procedure have been observed at mid-term follow-up. These results have led to a wider application of total chordal preservation during mitral valve replacement.

Key Words: Mitral valve • Mitral valve replacement

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				R. Garcia-Fuster, V. Estevez, O. Gil, S. Canovas, and J. Martinez-Leon Mitral Valve Replacement in Rheumatic Patients: Effects of Chordal Preservation Ann. Thorac. Surg., August 1, 2008; 86(2): 472 - 481. [Abstract] [Full Text] [PDF]

				I. Kiris, S. Gulmen, E. Kuralay, and E. Ibrisim Does posterior transposition of anterior leaflet for complete chordal preservation during mitral valve replacement improve postoperative left ventricular performance? Eur. J. Cardiothorac. Surg., November 1, 2007; 32(5): 820 - 821. [Full Text] [PDF]