Figure legends
Figure 1. Anterior mitral valve leaflet patch augmentation with
true-sized annuloplasty. Reproduced with permission from reference
#17.
[A] After the true-size annular measurement according to
the usual principle (i.e., based on the size of the anterior leaflet and
on the inter-trigonal distance), an incision is made along the anterior
mitral annulus (the dashed line).
[B and C] A CardioCel (LeMaitre Vascular, Burlington,
Mass., USA) patch slightly larger than the space area succeeding the
“fall” of the anterior mitral leaflet is prepared and sutured on the
leaflet, followed by a true-sized semirigid ring annuloplasty.
[D] Systolic anterior motion is never a concern, as the
patch-augmented anterior mitral valve leaflet is always “pushed”
toward the left atrium during the systolic phase.
Figure 2. Posterior mitral valve leaflet patch augmentation
with true-sized annuloplasty in patients with severe ischemic mitral
regurgitation due to significant posterior leaflet (i.e.,
P3) tethering. Reproduced with permission from
reference #54.
[A] A commissure-to-commissure incision is made along the
posterior mitral annulus (the dashed line).
[B] A CardioCel patch slightly larger than the space area
succeeding the “fall” of the posterior mitral leaflet (whereas
deferring to its shape and curvature) is prepared and sutured on the
leaflet, followed by a true-sized semirigid ring annuloplasty.