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Repair of Bileaflet Mitral Valve Prolapse Through an Upper Ministernotomy
Gaudiani V, Tsau P. Repair of Bileaflet Mitral Valve Prolapse Through an Upper Ministernotomy. March 2025. doi:10.25373/ctsnet.28570064
In this video, Dr. Vince Gaudiani demonstrates his method for repairing bileaflet mitral valve prolapse through a rooftop incision in the left atrium using an upper ministernotomy.
The repair is performed on a Barlow’s valve with prolapse of both the anterior and posterior mitral leaflets. There were no torn chords to the anterior leaflet, so chords were placed using the Chord-X premade chordal placement system, which offers three pairs of premade chords. The chords were placed 4-5 mm up on the posterior leaflet, which is an alternative to resecting leaflet tissue. A SimuPlus ring was placed, and the postoperative result is excellent.
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