By Edward B. Savage MD, Steven F. Bolling MD

This full-color atlas with accompanying video DVD presents a whole and sensible "how-to" consultant to making plans and appearing mitral valve fix surgical procedure for mitral regurgitation. The e-book reports the traditional background of mitral regurgitation, the practical anatomy of the mitral valve, and using echocardiography in preoperative evaluate and surgical making plans. Chapters describe and illustrate all thoughts at present used for mitral valve fix and talk about results.

A bound-in DVD offers narrated movies of six circumstances that express the applying of particular ideas. each one case starts with preoperative echocardiograms demonstrating the mitral valve illness and proceeds via key surgical maneuvers.

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LEAFLET SHORTENING Shortening of the anterior leaflet by excision of an ellipse of tissue (elliptoid excision) has been described (7), however no series detailing the success of this technique were found. A refined description of this technique was made by Duran (8) (Fig. 3). The upper incision is made 5 mm from the annulus. 1 Anterior triangular resection. (From Fasol R, Joubert-Hubner E. Triangular resection of the anterior leaflet for repair of the mitral valve. Ann Thorac Surg. 2 Anterior triangular resection and posterior quadrangular resection and folding plasty for Barlow’s disease.

Ann Thorac Surg. qxd 10/20/05 3:39 PM Page 32 32 Chapter 6: Annuloplasty: Sutures, Bands, and Rings tailored to the length of the free edge of the anterior leaflet and sewn to the posterior annulus between the commissures (26). Others have reported the use of saphenous vein (27), autologous pericardium (28), and Dacron. Scrofani et al. reported good long-term results with gluteraldehyde-treated pericardium sewn in place from commissure to commissure with mattress sutures to create an orifice of two finger breadths (29).

Gerbode F, Kerth WJ, Osborn JJ, Selzer A. Correction of mitral insufficiency by open operation. Ann Surg. 1962;155:846–854. Burr LH, Krayenbuhl C, Sutton MSJ, Paneth M. The mitral plication suture. A new technique of mitral valve repair. J Thorac Cardiovasc Surg. 1977;73:589–595. Shore DF, Wong P, Paneth M: Results of mitral valvuloplasty with a suture plication technique. J Thorac Cardiovasc Surg 1980;79:349–357. Tibayan FA, Rodriguez F, Liang D, Daughters GT, Ingels NB Jr, Miller DC. Paneth suture annuloplasty abolishes acute ischemic mitral regurgitation but preserves annular and leaflet dynamics.

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