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Mitral valve Cleft like indentation

Francesca Mantovani, Marie-Annick Clavel, Ori Vatury, Rakesh M Suri, Sunil V Mankad, Joseph Malouf, Hector I Michelena, Sonia Jain, Luigi Paolo Badano, Maurice Enriquez-Sarano
OBJECTIVES: Cleft-like indentations (CLI) are deep separations between scallops of the mitral posterior leaflet observed in myxomatous mitral valve disease (MMVD), but their diagnosis, mechanisms and implications are unknown. Using 3D transoesophageal echocardiography (3DTOC), we aimed at assessing diagnostic accuracy and defining mechanisms of CLI in patients undergoing surgery for MMVD. METHODS: 3DTOC of mitral valve was acquired in 49 patients with MMVD and severe regurgitation prior to valve repair...
July 2015: Heart: Official Journal of the British Cardiac Society
Zain Khalpey, Christopher W Baird, Patrick O Myers
An 11-year-old patient with Marfan syndrome presented with severe mitral and tricuspid regurgitation and underwent mitral valve repair consisting of a vertical folding plasty of a redundant and prolapsing A1, closure of a deep cleft-like A1-A2 indentation, and annuloplasty to 28 mm, and tricuspid valve repair. Post-bypass echocardiography showed significant systolic anterior motion of the mitral valve. The annuloplasty was upsized to 34 mm and the A1 folding plasty taken down. Echocardiography showed persistent systolic anterior motion...
April 2013: Annals of Thoracic Surgery
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