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Follow-up of a Barlow Mitral Valve Billowing and Prolapse Repair Patient

Received: 20 February 2017    Accepted: 29 March 2017    Published: 22 April 2017
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Abstract

We report the 20 year follow up of a female patient who underwent mitral valve billowing and prolapse (Barlow) repair at the age of 29 yrs. Our repair method to aggressively remodel the valve, which maximizes predictable anatomic and physiologic efficacy and minimizes unpredictable results incorporates a complete resection of the posterior leaflet, a sliding and folding plasty with the remaining lateral scallops combined with a triangular resection of the anterior leaflet and a ring-annuloplasty. This long term follow up confirms the absence of any sclerotic leaflet degeneration or calcification, a perfect leaflet coaptation and no regurgitation with normal ventricular function in regular sinus rhythm after 20 years.

Published in American Journal of Thoracic and Cardiovascular Surgery (Volume 2, Issue 3)
DOI 10.11648/j.ajtcs.20170203.11
Page(s) 41-44
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Mitral Valve, Valve Repair, Barlow

References
[1] Cuffer M, Barbillion M. Nouvelles recherches sur le bruit de galop cardiaque. Arch Gen Med. 1887; 19: 129–49.
[2] Barlow JB, Bosman CK, Pocock WA, Marchand P. Late systolic murmurs and non-ejection (‘‘mid-late’’) systolic clicks. An analysis of 90 patients. Br Heart J. 1968; 30: 203-18.
[3] Adams DH, Rosenhek R, Falk V. Degenerative mitral valve regurgitation: best practice revolution. Eur Heart J. 2010; 31: 1958–66.
[4] Fasol R, Slepian M. Artificial chordae replacement. US Patent. WO 99/11201; 1999.
[5] Da Rocha e Silva J, Spampinato R, Misfeld M, et al. Barlow’s mitral valve disease: A comparison of neochordal (loop) and edge-to-edge (Alfieri) minimally invasive repair techniques. Ann Thorac Surg. 2015; 100: 2127–35.
[6] Fasol R, Mahdjoobian K. Repair of mitral billowing and prolapse (Barlow): The surgical technique. Ann Thorac Surg. 2002; 74: 602-5.
[7] Fasol R, Joubert-Hübner E. Triangular resection of the anterior leaflet for repair of the mitral valve. Ann Thorac Surg. 2001; 71: 381-3.
[8] Flameng W, Herijgers P, Bogaerts K. Recurrence of mitral valve regurgitation after mitral valve repair in degenerative valve disease. Circulation. 2003; 107 (12): 1609-13.
[9] Deloche A, Jebara VA, Relland JY, et al. Valve repair with Carpentier techniques. The second decade. J Thorac Cardiovasc Surg. 1990; 99: 990-1001.
[10] Flameng W, Meuris B, Herijgers P, Herregods MC. Durability of mitral valve repair in Barlow disease versus fibroelastic deficiency. J Thorac Cardiovasc Surg. 2008; 135: 274-82.
Cite This Article
  • APA Style

    Roland Fasol, Noell Fasol, Thomas Binder. (2017). Follow-up of a Barlow Mitral Valve Billowing and Prolapse Repair Patient. American Journal of Thoracic and Cardiovascular Surgery, 2(3), 41-44. https://doi.org/10.11648/j.ajtcs.20170203.11

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    ACS Style

    Roland Fasol; Noell Fasol; Thomas Binder. Follow-up of a Barlow Mitral Valve Billowing and Prolapse Repair Patient. Am. J. Thorac. Cardiovasc. Surg. 2017, 2(3), 41-44. doi: 10.11648/j.ajtcs.20170203.11

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    AMA Style

    Roland Fasol, Noell Fasol, Thomas Binder. Follow-up of a Barlow Mitral Valve Billowing and Prolapse Repair Patient. Am J Thorac Cardiovasc Surg. 2017;2(3):41-44. doi: 10.11648/j.ajtcs.20170203.11

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  • @article{10.11648/j.ajtcs.20170203.11,
      author = {Roland Fasol and Noell Fasol and Thomas Binder},
      title = {Follow-up of a Barlow Mitral Valve Billowing and Prolapse Repair Patient},
      journal = {American Journal of Thoracic and Cardiovascular Surgery},
      volume = {2},
      number = {3},
      pages = {41-44},
      doi = {10.11648/j.ajtcs.20170203.11},
      url = {https://doi.org/10.11648/j.ajtcs.20170203.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajtcs.20170203.11},
      abstract = {We report the 20 year follow up of a female patient who underwent mitral valve billowing and prolapse (Barlow) repair at the age of 29 yrs. Our repair method to aggressively remodel the valve, which maximizes predictable anatomic and physiologic efficacy and minimizes unpredictable results incorporates a complete resection of the posterior leaflet, a sliding and folding plasty with the remaining lateral scallops combined with a triangular resection of the anterior leaflet and a ring-annuloplasty. This long term follow up confirms the absence of any sclerotic leaflet degeneration or calcification, a perfect leaflet coaptation and no regurgitation with normal ventricular function in regular sinus rhythm after 20 years.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Follow-up of a Barlow Mitral Valve Billowing and Prolapse Repair Patient
    AU  - Roland Fasol
    AU  - Noell Fasol
    AU  - Thomas Binder
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    DO  - 10.11648/j.ajtcs.20170203.11
    T2  - American Journal of Thoracic and Cardiovascular Surgery
    JF  - American Journal of Thoracic and Cardiovascular Surgery
    JO  - American Journal of Thoracic and Cardiovascular Surgery
    SP  - 41
    EP  - 44
    PB  - Science Publishing Group
    UR  - https://doi.org/10.11648/j.ajtcs.20170203.11
    AB  - We report the 20 year follow up of a female patient who underwent mitral valve billowing and prolapse (Barlow) repair at the age of 29 yrs. Our repair method to aggressively remodel the valve, which maximizes predictable anatomic and physiologic efficacy and minimizes unpredictable results incorporates a complete resection of the posterior leaflet, a sliding and folding plasty with the remaining lateral scallops combined with a triangular resection of the anterior leaflet and a ring-annuloplasty. This long term follow up confirms the absence of any sclerotic leaflet degeneration or calcification, a perfect leaflet coaptation and no regurgitation with normal ventricular function in regular sinus rhythm after 20 years.
    VL  - 2
    IS  - 3
    ER  - 

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Author Information
  • Department of Cardio Thoracic Surgery, Tree Top Hospital, Male, Maldives

  • School of Medicine, Sigmund Freud University Vienna, Vienna, Austria

  • Department of Cardiology, AKH (Allgemeines Kranken Haus), University of Vienna, Vienna, Austria

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