A woven Dacron ring made of artificial graft was successfully used in combination with a modified Kay's annuloplasty for mitral valve repair. In this procedure, after excision and repair of the redundant prolapsed leaflets, Kay's annuloplasty was performed at both commissures to reduce the posterior annulus and to coapt the leaflets. A woven Dacron ring was then seated and tied to the annulus to provide long-term stabilization and prevent its further dilatation. The mitral orifice of the patient was reduced from 33 mm to 21 mm in diameter, and neither mitral regurgitation nor stenosis was found in the postoperative evaluation.

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http://dx.doi.org/10.1253/jcj.59.176DOI Listing

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