RE-LOCK and TRACK: a reproducible minimally invasive repair for bileaflet mitral disease
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ID: 325111
2026
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Ranked #27 of 40 articles by views in european journal of cardio-thoracic surgery : official journal of the european association for cardio-thoracic surgery
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Abstract
Complex bileaflet and Barlow-type degenerative disease is among the most demanding substrates in reconstructive mitral surgery, where durable repair-preserving the subvalvular apparatus and left ventricular geometry-remains the goal [1]. Through a right mini-thoracotomy, limited exposure amplifies every source of intraoperative variability. Two pitfalls in bileaflet repair may compromise durability: leaving excessive height of the posterior leaflet, which displaces the coaptation line anteriorly and drives residual regurgitation and systolic anterior motion; and inappropriately sized anterior chordae, in which a small error in length may produce residual prolapse, restriction or recurrence. RE-LOCK and TRACK is a two-component, posterior-first protocol designed to control both, reproducibly, in the minimally invasive field (Fig. 1).
| Reference Key |
openalex_W7203605832
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| Authors | Giuseppe Nasso, Giuseppe Speziale |
| Journal | european journal of cardio-thoracic surgery : official journal of the european association for cardio-thoracic surgery |
| Year | 2026 |
| DOI |
10.1093/ejcts/ezag211
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| URL | |
| Keywords | Keywords not found |
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