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), 2017. Published by Science Publishing Group |
Mitral Valve, Valve Repair, Barlow
[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. |
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
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
@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} }
TY - JOUR T1 - Follow-up of a Barlow Mitral Valve Billowing and Prolapse Repair Patient AU - Roland Fasol AU - Noell Fasol AU - Thomas Binder Y1 - 2017/04/22 PY - 2017 N1 - https://doi.org/10.11648/j.ajtcs.20170203.11 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 -