Asymmetric Alfieri's stitch to correct systolic anterior motion after mitral valve repair

Daniel Pereda, Yan Topilsky, Rick A. Nishimura, Soon J. Park

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Systolic anterior motion of the mitral valve is a feared complication after valve repair, with important implications in the postoperative period. Provocation with isoproterenol is valuable in the assessment of its mechanism and severity in high-risk patients. Surgical correction of this condition is sometimes difficult and may require valve replacement. We present a modification of Alfieri's edge-to-edge technique that adapts better to the mechanism of systolic anterior motion (SAM) after mitral repair in selected patients by placing the edge-to-edge suture between the A1-P1 segments and not in the midline.

Original languageEnglish (US)
Pages (from-to)779-781
Number of pages3
JournalEuropean Journal of Cardio-Thoracic Surgery
Volume39
Issue number5
DOIs
StatePublished - May 1 2011

Keywords

  • Echocardiography
  • Mitral systolic anterior motion
  • Mitral valve repair
  • Surgery complications

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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