Ann Cardiothorac Surg. 2015 Jul;4(4):370-5. doi: 10.3978/j.issn.2225-319X.2015.07.02.
Annals of cardiothoracic surgery
Tohru Asai
PMID: 26309848 PMCID: PMC4526496 DOI: 10.3978/j.issn.2225-319X.2015.07.02
Butterfly resection is a mitral valve repair technique for prolapsing posterior leaflets. The aim of butterfly resection is to optimize the geometry of the resultant new leaflet, with controlled height reduction for a prolapsing segment, without annular reduction. We have reported the concept of its design, its advantages in preventing post-repair systolic anterior motion (SAM), and excellent early and medium-term results. The present illustrated article describes the technical details of how we design and perform the butterfly technique.
Keywords: Mitral valve repair; butterfly resection; degenerative mitral regurgitation; mitral valve prolapse