The Imbrication Technique: An Alternative to the Sliding Leaflet Technique
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 o...
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| Veröffentlicht in: | The Annals of thoracic surgery 2014-09, Vol.98 (3), p.1124-1126 |
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| container_title | The Annals of thoracic surgery |
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| creator | Hashim, Peter W., BA Assi, Roland, MD Hashim, Sabet W., MD |
| description | 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. |
| doi_str_mv | 10.1016/j.athoracsur.2014.01.066 |
| format | Article |
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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. 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The approach has been successfully implemented in the treatment of 124 consecutive patients at high risk for SAM.</description><subject>Cardiac Surgical Procedures - methods</subject><subject>Cardiothoracic Surgery</subject><subject>Heart Valve Diseases - prevention & control</subject><subject>Humans</subject><subject>Mitral Valve - surgery</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Postoperative Complications - prevention & control</subject><subject>Surgery</subject><subject>Suture Techniques</subject><subject>Systole</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1DAQhi0EotvCK6AcuSTM2HESc0BaKqAVK3HocrYcZ8J68SbFdir1bXgWngyvtlCJEyePNf_Mr_l-xgqECgGbN_vKpN0cjI1LqDhgXQFW0DRP2Aql5GXDpXrKVgAgylq18oydx7jPX57bz9kZl6gER1ixz9sdFdeHPjhrkpunYkt2N7kfC70t1lOx9onClDt3VKS5SDv69fPGu8FN34oNmdFTepx4wZ6Nxkd6-fBesK8fP2wvr8rNl0_Xl-tNaetWpbJDrJXk2Mu6G1U7ttYSCtkI1Y0cheHSKDm0PZhOYSNQ8h7HdiRrQPV1X4sL9vq09zbM2TYmfXDRkvdmonmJGmUDsgMpMEu7k9SGOcZAo74N7mDCvUbQR5R6rx9R6iNKDagzyjz66sFl6Q80_B38wy4L3p8ElG-9cxR0tI4mS4MLZJMeZvc_Lu_-WWK9m3IY_jvdU9zPS8bv8006cg365hjpMVGsc6GgFb8BBtKenQ</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Hashim, Peter W., BA</creator><creator>Assi, Roland, MD</creator><creator>Hashim, Sabet W., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>The Imbrication Technique: An Alternative to the Sliding Leaflet Technique</title><author>Hashim, Peter W., BA ; Assi, Roland, MD ; Hashim, Sabet W., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-81149521b548f97f7cce1356398f213a25a95d7b0a89163152b1f7feca09b4b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Cardiac Surgical Procedures - methods</topic><topic>Cardiothoracic Surgery</topic><topic>Heart Valve Diseases - prevention & control</topic><topic>Humans</topic><topic>Mitral Valve - surgery</topic><topic>Mitral Valve Insufficiency - surgery</topic><topic>Postoperative Complications - prevention & control</topic><topic>Surgery</topic><topic>Suture Techniques</topic><topic>Systole</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hashim, Peter W., BA</creatorcontrib><creatorcontrib>Assi, Roland, MD</creatorcontrib><creatorcontrib>Hashim, Sabet W., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hashim, Peter W., BA</au><au>Assi, Roland, MD</au><au>Hashim, Sabet W., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Imbrication Technique: An Alternative to the Sliding Leaflet Technique</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>98</volume><issue>3</issue><spage>1124</spage><epage>1126</epage><pages>1124-1126</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Systolic anterior motion (SAM) represents a common and troublesome complication of mitral valve repair. 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| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Cardiac Surgical Procedures - methods Cardiothoracic Surgery Heart Valve Diseases - prevention & control Humans Mitral Valve - surgery Mitral Valve Insufficiency - surgery Postoperative Complications - prevention & control Surgery Suture Techniques Systole |
| title | The Imbrication Technique: An Alternative to the Sliding Leaflet Technique |
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