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 journalArticle

7 Citations (Scopus)

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 2011

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Mitral Valve
Isoproterenol
Postoperative Period
Sutures

Keywords

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

ASJC Scopus subject areas

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

Cite this

Asymmetric Alfieri's stitch to correct systolic anterior motion after mitral valve repair. / Pereda, Daniel; Topilsky, Yan; Nishimura, Rick A.; Park, Soon J.

In: European Journal of Cardio-thoracic Surgery, Vol. 39, No. 5, 05.2011, p. 779-781.

Research output: Contribution to journalArticle

Pereda, Daniel ; Topilsky, Yan ; Nishimura, Rick A. ; Park, Soon J. / Asymmetric Alfieri's stitch to correct systolic anterior motion after mitral valve repair. In: European Journal of Cardio-thoracic Surgery. 2011 ; Vol. 39, No. 5. pp. 779-781.
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