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.