Totally endoscopic mitral valve repair for mitral regurgitation in double-orifice mitral valve

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ID: 319061
2026
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Ranked #76 of 87 articles by views in Interdisciplinary CardioVascular and Thoracic Surgery

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Abstract
Abstract Double-orifice mitral valve (DOMV) is a rare congenital anomaly. Repair strategies for mitral valve prolapse in the setting of DOMV remain technically challenging. We report a case of DOMV presenting with severe mitral regurgitation (MR) due to chordal rupture and annular dilation, successfully treated with totally endoscopic mitral valve repair. Regarding the surgical approach, preserving the fibrous bridge, we repaired a DOMV via an endoscopic approach with neochords and an edge-to-edge stitch for leaflet prolapse, and a flexible band for annular dilatation, achieving trivial MR without stenosis. This case demonstrates minimally invasive mitral valve repair for DOMV, in which the regurgitation was successfully controlled while preserving the fibrous bridge and avoiding mitral stenosis.
Reference Key
openalex_W7166525971 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Nami Omori, Minoru Tabata
Journal Interdisciplinary CardioVascular and Thoracic Surgery
Year 2026
DOI
10.1093/icvts/ivag178
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