A new technique for repair of @entity339 caused by XXXX of the anterior leaflet.

@entity1 @entity1377 @entity397 @entity339
Prolapse of the anterior leaflet of the mitral valve is the result of @entity397 , elongated chordae, or elongated or @entity1377 muscle. Several techniques have been described for the correction of @entity339 . However, when there is severe @entity397 of the chordae, the most widely accepted solution is valve replacement. We describe a technique for the creation of a neochorda with a strip of tissue from the anterior leaflet of the mitral valve. This technique was used in two @entity1 with severe @entity339 . Formation of a neochorda and placement of a Carpentier ring to remodel the anulus obviated the need for a valve replacement. Both @entity1 had an uneventful recovery. Studies performed 3 and 4 months postoperatively showed competent and well-functioning valves. One @entity1 required a valve replacement for acute @entity339 5 years later, but the other @entity1 was doing well 3 years after the operation. Despite the limited experience, we believe this technique offers a reasonable alternative to valve replacement.
