Mitral annuloplasty in an infant with Barth syndrome and severe mitral insufficiency: First case report and determination of annular diameter Shu-Chien.

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Mitral annuloplasty in an infant with Barth syndrome and severe mitral insufficiency: First case report and determination of annular diameter Shu-Chien Huang, MD, En-Ting Wu, MD, Shuenn–Nan Chiu, MD, Wuh-Liang Hwu, MD, Mei-Hwan Wu, MD, PhD, Shoei-Shen Wang, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 136, Issue 4, Pages 1095-1097 (October 2008) DOI: 10.1016/j.jtcvs.2008.01.031 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Echocardiography. A, Preoperative echocardiography revealed dilated left atrium (LA), left ventricle (LV), and gap between anterior and posterior mitral leaflets (arrow). B, Three months after surgery, left atrium (LA) and left ventricle (LV) had decreased in size, and minimal mitral valve regurgitation was noted. Single functional anterior mitral leaflet was consistent with our preoperative planning. PML, Posterior mitral leaflet. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1095-1097DOI: (10.1016/j.jtcvs.2008.01.031) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Schematic drawing of surgical procedure. A, Two concentric circles were drawn on expanded polytetrafluoroethylene cardiovascular patch, with inner diameter of 16 mm and outer diameter of 20 mm. B, Then 2-mm wide expanded polytetrafluoroethylene ring was made. Partial ring was then fixed on mitral annulus with interrupted 3-0 braided polyester suture, thus reducing mitral valve diameter from 25 to 16 mm. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1095-1097DOI: (10.1016/j.jtcvs.2008.01.031) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions