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- I understand that you use a particular mitral valve repair algorithm that works in more than 90% of all heart valve surgeries that you do. What are the techniques for mitral valve repair that you favor in your surgical practice? The most common problem in patients with mitral valve prolapse is located in a posterior leaflet of the mitral valve. Oftentimes the chords are ruptured. [Chords attach mitral valve leaflet to papillary muscles] Often the middle part of posterior leaflet becomes loose and billowy, and leaking. Mitral valve prolapse is a genetic disease and patients have a genetic predisposition to weakness in mitral valve tissue. We have done a classic operation, when we resect that little section of mitral valve and bring two edges of the mitral valve leaflet together. All patients had a ring to strengthen the mitral valve. Recently we started to use technique called foldoplasty. We fold over the area in posterior leaflet of mitral valve, which is causing leakage of blood. We place a ring inside heart valve to strengthen it. We suture the leaflet to underside of the annulus of mitral valve. This operation is much much faster than classical technique. And we have same patient results as with classical operation. Can cardiac surgeons read about this new mitral valve repair technique in published articles? Yes, this work was published.
top doctors mexico Mitral Valve Repair Surgery: Methods (3) | |
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