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Review
. 2022 Dec;37(12):4064-4071.
doi: 10.1111/jocs.16924. Epub 2022 Sep 18.

A morphofunctional analysis of the regurgitant mitral valve as a guide to repair: Another point of view

Affiliations
Review

A morphofunctional analysis of the regurgitant mitral valve as a guide to repair: Another point of view

Antonio M Calafiore et al. J Card Surg. 2022 Dec.

Abstract

Based on Carpentier's classification and principles, the techniques for mitral valve repair continue to evolve. We herein report our experience with the morphofunctional echocardiographic analysis of single mitral leaflets, as different anatomic features, even if conflicting, may coexist not only in the two leaflets but in the same leaflet as well. A classification is proposed, based on the length (normal, short, or long) and mobility (normal, restricted, or excessive) of mitral leaflets. The surgical techniques adopted for mitral valve repair are the direct consequence of this analysis.

Keywords: mitral valve repair; morphofunctional analysis; prolapse of the mitral valve; secondary mitral regurgitation.

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References

REFERENCES

    1. Carpentier A, Deloche A, Dauptain J, et al. A new reconstructive operation for correction of mitral and tricuspid insufficiency. J Thorac Cardiovasc Surg. 1971;61:1-13.
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    1. Frater RW, Vetter HO, Zussa C, Dahm M. Chordal replacement in mitral valve repair. Circulation. 1990;82:IV125-IV130.
    1. Calafiore AM, Totaro A, Testa N, et al. The secret life of the mitral valve. J Card Surg. 2021;36:247-59.

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