Mitral Valve Repair Reference Center at The Mount Sinai Hospital Mount Sinai Heart
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(Video length: 4.5 minutes)

 

PREOPERATIVE DIAGNOSIS: Mitral Valve Regurgitation

 

OPERATION: Mitral Valve Repair (Fibroelastic Deficiency with Ruptured Chordae and P2 Prolapse; Quadrangular Resection with Vertical Plication and True Size 36 Physio-Ring Annuloplasty)

 

SURGEON: David Adams, M.D.

 

INDICATIONS FOR SURGERY: The patient is a 69 year old man who had severe mitral valve regurgitation with mild pulmonary hypertension here for elective intervention.

 

OPERATIVE PROCEDURE: The mitral valve was exposed through Sondergaard's groove. Valve analysis revealed fibroelastic deficiency with ruptured chordae and an elongated distended P2 segment. We began by performing a quadrangular resection in a three suture vertical plication and reconstructed the leaflet edges with a Prolene. We then placed sutures around the annulus through the sewing ring of a size #30 Physio-ring annuloplasty. The ring was tied securely to the annulus. The valve had a normal line of symmetry and a normal saline test.

 

POSTOPERATIVE ANALYSIS: The post-bypass transesophageal echo revealed absent residual regurgitation.

 
Department of Cardiothoracic Surgery | Mount Sinai Medical Center | 1190 Fifth Avenue | New York, NY  10029 | 212-659-6820

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