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You are here: Contents > 2016 > Volume 25 Number 4 July 2016 > LETTERS TO THE EDITOR > Chordal Shortening for Anterior Mitral Leaflet Prolapse and the Maze Procedure for Persistent Atrial Fibrillation

Chordal Shortening for Anterior Mitral Leaflet Prolapse and the Maze Procedure for Persistent Atrial Fibrillation

Jong Hun Kim1, Kyung Hwa Kim1, Jong Bum Choi1,2, Ja Hong Kuh1

1Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine and Biomedical Research Institute, Chonbuk National University Medical School, Jeonju, Chonbuk, South Korea
2Electonic correspondence: jobchoi@jbnu.ac.kr

Letter to the Editor

We read with great interest the report by Inoue et al. (Cusp-level chordal shortening for non-rheumatic mitralanterior leaflet prolapse in a patient with persistent atrial fibrillation. J Heart Valve Dis 2015;24:586-589) that described their mitral valve repair technique for anterior leaflet prolapse (ALP) and perioperative adaptive servo-ventilation (ASV) therapy for preventing the recurrence of atrial fibrillation after the maze procedure.

Latent recurrence of atrial fibrillation after the maze procedure is caused by many factors. ASV therapy is one way to prevent the occurrence of new atrial fibrillation after cardiac surgery. However, a complete biatrial maze procedure should be performed for continued prevention of the recurrence of atrial fibrillation after the maze procedure, and atrial reduction plasty for a huge left atrium may be added.

The Journal of Heart Valve Disease 2016;25:525-526


Chordal Shortening for Anterior Mitral Leaflet Prolapse and the Maze Procedure for Persistent Atrial Fibrillation

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