Lesions | Surgical techniques | Probability of repair |
Annular dilatation | Annuloplasty procedure: complete ring* partial ring/band† suture annuloplasty‡ | >95% |
PMLP | Artificial chordal implantation* Leaflet resection* Sliding plasty† Notch closure between segments† Chordal shortening/transposition‡ | >98% |
AMLP | Artificial chordal implantation* Chordal shortening/transposition† Suture plication (minor prolapse)† Leaflet resection‡ | >95% |
Commissural leaflet prolapse | Commissural closure (‘magic stitch’)* Papillary muscle shortening† Artificial chordal implantation† Chordal shortening/transposition‡ | >95% |
Leaflet restriction/small size | Patch augmentation† Leaflet thinning† Secondary chordal resection† | 70%–80% |
Annular calcification | Decalcification† Decalcification + patch reconstruction‡ | 70%–80% |
The following options express the authors' opinions and trends according to their daily experience.
*Techniques frequently used to correct the corresponding lesions.
†Techniques occasionally used.
‡Techniques seldom used.
AMLP, anterior leaflet prolapse; PMLP, posterior leaflet prolapse.