Mitral Foundation Teaching Library

The Mitral Foundation Teaching Library is a resource for all physicians who want to improve their knowledge about mitral valve repair and reconstruction. The Mitral Foundation created these teaching library case study videos, presentations, and publications to advance the field of treatment for mitral valve disease.

Live Reconstructive Valve Surgery Workshop

Repair of Multi-segment Barlow's Mitral Valve Disease

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

When you have a multi-segmented Barlow's, rather than cut out the tallest segment, sometimes you want to do a targeted resection of a less tall segment using the indentation as one side of your resection. Then, when you detach the tall segment and perform a sliding leaflet plasty, you'll see that you really preserved the maximum amount of leaflet for coaptation and that you can do this without creating any tension on the suture lines and avoid the need for angular annular compression.

Sliding Leaflet Plasty and Annular Plication

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.

Our main strategy for treating patients with excess posterior leaflet tissue is sliding leaflet plasty. We follow Carpentier's rules, usually performing a limited quadrangular resection. We do resect less tissue today than we did historically, and then we reattach the leaflet along the annulus. Annular plication is sometimes used to narrow the orifice and take tension off the leaflet.

First U.S. Implant of the Carpentier-Edwards Physio II Annuloplasty Ring

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

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