Systolic anterior motion occurs after mitral valve repair due to an excess of leaflet tissue versus the anterior lateral height of the orifice of the mitral valve. The posterior leaflet pushes the anterior leaflet into the outflow tract. There are two principal causes for this.

This Mitral Foundation Teaching Library case is going to demonstrate sliding leaflet plasty in combination with annular plication to treat a patient with a Barlow's malformation.

High velocity jets after mitral valve repair strongly suggest leaflet perforation. They're usually simple lesions to re-repair. And if patients are stable and have good ventricular function, it's usually worth a second look on bypass to identify them.

This Mitral Foundation Teaching Library case is going to demonstrate teaching points in the repair of multi-segment Barlow's mitral valve disease.

The key teaching points that we show in this video is patch augmentation is the primary strategy for a perforation, whether that's healed or acute in the anterior leaflet.

Triangular resection is a simple technique. It's designed to correct prolapse at the margin of the leaflet.

PREOPERATIVE DIAGNOSIS: Mitral Regurgitation

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)

PREOPERATIVE DIAGNOSIS: Mitral Regurgitation

PREOPERATIVE DIAGNOSIS: Mitral Regurgitation

PREOPERATIVE DIAGNOSIS: Barlow's Mitral Valve Disease

This Mitral Foundation Teaching Library case is going to highlight the first U.S. implantation of the Edwards Lifesciences Physio II Annuloplasty Ring.

In this video we show an example of a reconstruction of Barlow's valve disease in a patient that has calcification of the annulus.

There are a variety of repair strategies that are useful for anterior leaflet prolapse.