• Ann. Thorac. Surg. · Apr 2012

    Case Reports

    Mitral valve repair for double-orifice mitral valve with flail leaflet: the usefulness of real-time three-dimensional transesophageal echocardiography.

    • Tomoko Tani, Kitae Kim, Yoko Fujii, Shigeru Komori, Yukikatsu Okada, Toru Kita, and Yutaka Furukawa.
    • Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan. tomokot@kcho.jp
    • Ann. Thorac. Surg. 2012 Apr 1;93(4):e97-8.

    AbstractWe describe a 66-year-old man who required an operation for severe mitral regurgitation associated with a double-orifice mitral valve. Real-time 3-dimensional transesophageal echocardiography clearly demonstrated a double-orifice mitral valve with a central fibrous bridge. A flail posterior leaflet was observed on the anterolateral mitral valve orifice. Mitral valve repair using P1 triangular resection, anterolateral commissure plication, and ring annuloplasty with Duran band (Medtronic, Minneapolis, MN) was successfully performed. Postoperative real-time 3-dimensional transesophageal echocardiography demonstrated a double-orifice mitral valve without regurgitation or stenosis.Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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