AUTOGRAFT FROM QUADRANGULAR RESECTION FOR FLOPPY VALVE REPAIR IN ENDOCARDITIS

We present a case of reconstruction of the anterior leaflet in mitral valve prolapse and subacute bacterial endocarditis in which the resect ed prolapsing segment of the posterior leaflet was used as patch mater ial, Competence of the valve was achieved with no recurrence of infect ion. Quadrangular resection oi: the posterior leaflet supplies presuma bly viable patch material for valve repair, which is particularly usef ul in bacterial endocarditis and when pliability is required. (Ann Tho rac Surg 1998;66:270-1). (C) 1998 by The Society of Thoracic Surgeons.