Optimizing Exposure for Mitral Repair: Anterior Annulus–to–Leaflet Stitch Technique

Americo Peña, Nicola Buzzatti, Ottavio Alfieri, Francesco Maisano

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Exposure of anatomic landmarks is key in mitral valve repair. We report a technique to improve exposure of the mitral valve posterior leaflet during video-assisted procedures. It consists of a traction stitch placed on the leaflet free edges after triangular resection and through the anterior left atrial wall close to the mitral annulus. Gentle traction on this suture pulls the posterior leaflet on the plane of the mitral annulus to improve exposure and to expedite the reconstruction.

Original languageEnglish
Pages (from-to)e465-e468
JournalAnnals of Thoracic Surgery
Issue number6
StatePublished - Dec 2022
Externally publishedYes


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