Figure 2 - Surgical exclusion by a conservative transmitral
approach
The orifice (*) was localized behind P1 (a). First, the posterior mitral
valve was partially detached and the Dacron patch was cut according to
the size of the orifice (b). Then, pledgeted āUā threads surrounded
the edge of the orifice and the Dacron patch was sutured to close it
(c,d). Finally, the posterior mitral valve was reattached by a sliding
valve repair technique (e)