Repair of Aortic Leaflet Prolapse: The “Sliding Leaflet Technique”

Valve-preserving aortic replacement has become an accepted therapeutic option for aortic dilatation with normal valve leaflets. The presence of a leaflet prolapse often induces the choice of a composite graft repair. In these cases, however, the repair of a leaflet prolapse is possible and represent...

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Published inThe Annals of thoracic surgery Vol. 79; no. 5; pp. 1787 - 1789
Main Authors Massetti, Massimo, Neri, Eugenio, Buklas, Dimitrios, Babatasi, Gerard, Le Page, Olivier, Gerard, Jean Louis, Khayat, André
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.05.2005
Elsevier Science
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Summary:Valve-preserving aortic replacement has become an accepted therapeutic option for aortic dilatation with normal valve leaflets. The presence of a leaflet prolapse often induces the choice of a composite graft repair. In these cases, however, the repair of a leaflet prolapse is possible and represents a valuable alternative to a prosthetic valve. The conventional techniques of repair of a cusp prolapse are designed to restore coaptation through a reduction of free margin length. The sliding leaflet technique is an alternative procedure conceived to repair the prolapsed valve cusp by remodeling both the free margin and the annular insertion.
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2003.12.104