Atlas of Mitral Valve Repair

• The Natural History of Mitral Regurgitation

• Functional Anatomy of the Mitral Valve

• Pathology of Mitral Valve Disease

• Assessing the Functional Substrate of Mitral Regurgitation with Echocardiography

• Overview of Mitral Valve Repair

• Annuloplasty:: Sutures, Bands and Rings

• Commissurotomy

• Anterior Leaflet Repair Techniques

• Posterior Leaflet Repair Techniques

• Commissural Repair Techniques

• Other Techniques

• Complications and Assessing the Quality of Repair

CONTENTS OF DVD

Case 1
Clip 1. Preoperative echocardiogram with flail posterior leaflet and anterior jet with audio
Clip 2. Examination of the posterior leaflet P2 flail chordal rupture and a cleft with audio
Clip 3. Excision of a portion of the P2 Scallop based on the location of intact chords with audio
Clip 4. Mobilization of the posterior leaflet and placement of posterior annuloplasty sutures with audio
Clip 5. Reattachment of the posterior leaflet creating a posterior sliding plasty with audio
Clip 6. Evaluation of cleft after posterior sliding plasty with audio
Clip 7. Closure of cleft after posterior sliding plasty with audio
Clip 8. Placement of remaining annuloplasty sutures with audio
Clip 9. Sizing the annuloplasty band with audio
Clip 10. Placement of sutures through the annuloplasty band with audio
Clip 11. Final test after band placement with audio

Case 2
Clip 1. Angiogram demonstrating poor EF and severe MR with audio
Clip 2. Echocardiogram demonstrating dilated annulus, tethered leaflets, poor coaptation
Clip 3. Examination of the leaflets with audio
Clip 4. Sizing the ring with audio
Clip 5. Testing the valve after ring placement with audio
Clip 6. Postoperative echocardiogram showing reduced annular diameter with audio

Case 3
Clip 1. Preoperative echocardiogram rheumatic valve with tethering, thickening, decrease excursion
Clip 2. Evaluation of the leaflet stiff, commissural and cleft fusion, thickened chord with audio
Clip 3. Release of secondary chordae with audio
Clip 4. Commissurotomy with audio
Clip 5. Sizing the annuloplasty band with audio
Clip 6. Testing with cleft closure and lateral commissuroplasty with audio

Case 4
Clip 1. Preoperative echocardiogram anterior leaflet prolapse with posterior jet with audio
Clip 2. Examination of anterior leaflet prolapse with audio
Clip 3. Anchoring the PTFE suture in the papillary muscle with audio
Clip 4. Placement of annuloplasty sutures with audio
Clip 5. Selecting the size of the annuloplasty band with audio
Clip 6. Medial commissuroplasty with audio
Clip 7. Testing after medial commissuroplasty with audio
Clip 8. Attachment of PTFE chord to anterior leaflet with audio
Clip 9. Postoperative echocardiogram with audio

Case 5
Clip 1. Preoperative echocardiogram with audio
Clip 2. Dissection of the interatrial groove with audio
Clip 3. Evaluation of the valve with audio

Case 6
Clip 1. Evaluation of the valve with bileaflet prolapse and posterior stretched chords with audio
Clip 2. Quadrangular resection of the P2 scallop of the posteior leaflet with audio
Clip 3. Placement of PTFE suture in anterolateral papillary muscle with audio
Clip 4. Posterior folding plasty with audio
Clip 5. Securing the posterior leaflet with audio
Clip 6. Attachment of PTFE sutures to anterior leaflet with audio
Clip 7. Sizing the ring with audio
Clip 8. Securing the ring with audio