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 ā€œUā€ 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)