Abstract
creased. Fourteen months after initial examination, the patient underwent mitral valve repair. Intraoperatively the valve leaflets were noted to be pliable, with thickening along the leading edge of the posterior leaflet. The chordae to the posterior leaflet were thickened and foreshortened, and the chordae to the anterior leaflet were mildly thickened. The valve was repaired by dividing the papillary muscle heads to allow release of the posterior chordal apparatus and placement of a 30 mm Carpentier annuloplasty. After repair, transesophageal echocardiography revealed a small, eccentric regurgitant jet at the coaptation point of the anterior and posterior leaflets; the jet was graded as mild. The postoperative course was uncomplicated, and the patient has done well since hospital discharge.
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