Surgical Treatment of Commissural Prolapse: Case Report and Review of the Options

Patrick Mathieu MD, François Dagenais MD, José I. Saez De Ibarra MD, Richard Baillot MD

 
Repair of commissural prolapse associated with chordal rupture may represent a challenging problem for the cardiac surgeon. The case of a patient with chronic mitral regurgitation and prolapse of the posterior commissural area associated with chordal rupture is presented. A technique was proposed that involved partial resection of the degenerative leaflet segment, plication of the posterior annulus and chordal transfer to create a neocommissure. An analysis of the options available for surgical treatment of commissural prolapse is included.
 
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