Transaortic Alfieri Edge-to-Edge Repair for Functional Mitral Regurgitation Ken-ichi Imasaka, MD, PhD, Eiki Tayama, MD, PhD, Shigeki Morita, MD, PhD,

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Transaortic Alfieri Edge-to-Edge Repair for Functional Mitral Regurgitation Ken-ichi Imasaka, MD, PhD, Eiki Tayama, MD, PhD, Shigeki Morita, MD, PhD, Ryohei Toriya, MD, Yukihiro Tomita, MD, PhD The Annals of Thoracic Surgery Volume 105, Issue 3, Pages e141-e143 (March 2018) DOI: 10.1016/j.athoracsur.2017.10.028 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Surgical view of mitral valve through ascending aorta. (A) A marking suture using 4-0 Prolene (Ethicon, Somerville, NJ) is placed at the midpoint of A2 in the mitral valve. Subsequent traction of this suture provides a good field of vision across the posterior leaflet of the mitral valve. (B) A figure-of-eight suture using 4-0 Prolene (Alfieri edge-to-edge repair) is placed at the midpoint of A2 and P2 in the mitral valve. *Indicates the anterior the leaflet of the mitral valve. # Indicates the left coronary leaflet of the aortic valve. The Annals of Thoracic Surgery 2018 105, e141-e143DOI: (10.1016/j.athoracsur.2017.10.028) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions