The imbrication technique: an alternative to the sliding leaflet technique

Peter W Hashim; Roland Assi; Sabet W Hashim

doi:10.1016/j.athoracsur.2014.01.066

The imbrication technique: an alternative to the sliding leaflet technique

Ann Thorac Surg. 2014 Sep;98(3):1124-6. doi: 10.1016/j.athoracsur.2014.01.066.

Authors

Peter W Hashim¹, Roland Assi¹, Sabet W Hashim²

Affiliations

¹ Section of Cardiac Surgery, Yale University School of Medicine, New Haven, Connecticut.
² Section of Cardiac Surgery, Yale University School of Medicine, New Haven, Connecticut. Electronic address: [email protected].

PMID: 25193210
DOI: 10.1016/j.athoracsur.2014.01.066

Abstract

Systolic anterior motion (SAM) represents a common and troublesome complication of mitral valve repair. The prevention of SAM has traditionally been based on the sliding leaflet technique, which involves resection of posterior leaflet tissue. However, this approach has not been universally adopted owing to its technical difficulty and inconsistent efficacy. We present an imbrication technique that avoids additional leaflet resection and achieves a reliable prevention of SAM. The approach has been successfully implemented in the treatment of 124 consecutive patients at high risk for SAM.

MeSH terms

Cardiac Surgical Procedures / methods
Heart Valve Diseases / prevention & control
Humans
Mitral Valve / surgery*
Mitral Valve Insufficiency / surgery*
Postoperative Complications / prevention & control*
Suture Techniques*
Systole