E. Esper et al., PROSTHETIC MITRAL-VALVE REPLACEMENT - LATE COMPLICATIONS AFTER NATIVEVALVE PRESERVATION, The Annals of thoracic surgery, 63(2), 1997, pp. 541-543
Preservation of the mitral valve leaflet and tensor apparatus during v
alve replacement is believed to maintain left ventricular performance.
The routine use of this technique may lead to left ventricular outflo
w or inflow obstruction as illustrated in the present report. We recom
mend mobilization or excision of the anterior mitral valve leaflet and
preservation of the posterior leaflet if replacement of the valve is
contemplated for incompetence. (C) 1997 by The Society of Thoracic Sur
geons.