Autograft from quadrangular resection for floppy valve repair in endocarditis Alfonso Penta de Peppo, MD, Jacob Zeitani, MD, Ruggero De Paulis, MD, Luigi.

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Presentation transcript:

Autograft from quadrangular resection for floppy valve repair in endocarditis Alfonso Penta de Peppo, MD, Jacob Zeitani, MD, Ruggero De Paulis, MD, Luigi Chiariello, MD The Annals of Thoracic Surgery Volume 66, Issue 1, Pages 270-271 (July 1998) DOI: 10.1016/S0003-4975(98)00407-X

Fig 1 Operative photograph showing the anterior mitral leaflet (AL) with perforation of the central portion (stretched by a curved forceps) and the posterior leaflet (PL) with the redundant segment and a ruptured chorda. The Annals of Thoracic Surgery 1998 66, 270-271DOI: (10.1016/S0003-4975(98)00407-X)

Fig 2 Operative photograph showing autograft patch reconstruction of the anterior leaflet (asterisk) after quadrangular resection of the posterior leaflet (arrows). A narrow strip of the free anterior margin with the supporting chordae (exposed by a curved forceps) was preserved. The Annals of Thoracic Surgery 1998 66, 270-271DOI: (10.1016/S0003-4975(98)00407-X)

Fig 3 Postoperative transesophageal echocardiogram illustrating the central jet (A, encircled area) of mild regurgitation in the left atrium (LA). The left ventricle (LV) and aorta (AO) with the fully open aortic valve are also shown. The Annals of Thoracic Surgery 1998 66, 270-271DOI: (10.1016/S0003-4975(98)00407-X)