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Evelio Rodriguez, MD, L. Wiley Nifong, MD, Michael W. A

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1 Robotic Mitral Valve Repair for Anterior Leaflet and Bileaflet Prolapse 
Evelio Rodriguez, MD, L. Wiley Nifong, MD, Michael W.A. Chu, MD, William Wood, MD, Paul W. Vos, PhD, W. Randolph Chitwood, MD  The Annals of Thoracic Surgery  Volume 85, Issue 2, Pages (February 2008) DOI: /j.athoracsur Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Artistic rendering of the robot-assisted visualization and Gore-Tex neochord repair of a flail anterior leaflet. A 5-0 Gore-Tex, nonpledgeted suture is passed through the papillary muscle head, in a crossing, nonstrangulating, horizontal mattress fashion, measured to the appropriate length, and then is passed doubly through the anterior leaflet free edge and tied to bring the leaflet back down into the zone of coaptation. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Schematic drawing demonstrating a strategy for repair of bileaflet prolapse, using a chordal transfer from P2 to A2 and a posterior quadrangular resection with compressions sutures and sliding plasty, as well as a band annuloplasty. A posterior quadrangular resection with or without a sliding plasty alone should suffice for cases of bileaflet prolapse in which the anterior leaflet does not prolapse more than 3 mm above the coaptation plane [4]. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Kaplan–Meier survival curve (number of patients at risk for each year is shown). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Kaplan–Meier freedom from reoperation (number of patients at risk for each year is shown). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions


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