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Valve-preserving aortic replacement has become an accepted therapeutic option for aortic dilatation with normal valve leaflets. The presence of a leaflet prolapse often induces the choice of a composite graft repair. In these cases, however, the repair of a leaflet prolapse is possible and represents a valuable alternative to a prosthetic valve. The conventional techniques of repair of a cusp prolapse are designed to restore coaptation through a reduction of free margin length. The sliding leaflet technique is an alternative procedure conceived to repair the prolapsed valve cusp by remodeling both the free margin and the annular insertion.
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http://dx.doi.org/10.1016/j.athoracsur.2003.12.104 | DOI Listing |
JTCVS Open
August 2025
Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pa.
Objective: Previous randomized controlled trials demonstrated comparable outcomes between posterior leaflet resections and neochord implantation in mitral valve (MV) repair. However, these studies were limited up to 1-year follow-up, and more recent evidence suggested that leaflet resections may offer superior long-term outcomes.
Methods: All patients who underwent MV repair with either resection or neochord implantation for posterior leaflet pathology between October 2011 and July 2024 were included.
Multimed Man Cardiothorac Surg
September 2025
Department of Thoracic and Cardiovascular Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA.
Triangular resection is an effective repair technique for isolated segmental posterior leaflet prolapse in mitral valves at low risk for systolic anterior motion. It is applicable in the majority of such cases, is low risk, and has excellent long-term durability. Its simplicity and efficacy make it an essential part of every mitral surgeon's armamentarium.
View Article and Find Full Text PDFCase Rep Cardiol
August 2025
Department of Internal Medicine, Division of Cardiovascular Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Papillary muscle rupture is a rare but serious complication during percutaneous transvenous mitral commissurotomy (PTMC). In many cases, it leads to acute significant mitral regurgitation (MR), requiring urgent surgical repair. We performed PTMC for a 49-year-old woman with symptomatic moderate rheumatic mitral stenosis.
View Article and Find Full Text PDFJ Clin Med
August 2025
Division of Cardiac Surgery, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy.
: The NeoChord procedure is a trans-ventricular, echo-guided, beating-heart mitral valve (MV) repair technique used to treat degenerative mitral regurgitation (MR) caused by leaflet prolapse and/or flail. : This study aimed to develop a machine learning (ML) scoring system using pre-procedural clinical and echocardiographic variables to predict the success of the NeoChord procedure-defined as less than moderate MR at follow-up. A total of 80 patients were included.
View Article and Find Full Text PDFJACC Cardiovasc Interv
August 2025
Cedars-Sinai Medical Center, Los Angeles, California, USA.
Background: The PASCAL Precision transcatheter valve repair system provides a new option for treating prohibitive surgical risk patients with significant, symptomatic degenerative mitral regurgitation (DMR).
Objectives: The authors report early U.S.