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  • Title: Mitral leaflet restoration using a billowing leaflet in active infective endocarditis.
    Author: Miura T, Nakaji S, Ariyoshi T, Tsuneto A, Hashizume K, Eishi K.
    Journal: Ann Thorac Surg; 2014 Feb; 97(2):e47-8. PubMed ID: 24484843.
    Abstract:
    A key to the success of mitral valve repair in patients with infective endocarditis is the technique used for reconstruction of the missing leaflet. We report the case of a 47-year-old man with active mitral infective endocarditis. After dissection of the infected segments of P3 and the posteromedial commissure, the defect was reconstructed using tissue from a billowing A2 medial and A3 segment. Chordal transfer with an anterior chord was performed to correct the A3 mild prolapse. Follow-up echocardiography showed recovery of mitral valve morphology and function without regurgitation.
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