Residual Mitral Regurgitation After Mitral Valve Repair: Leaflet Perforation

The Mitral Foundation Teaching Library, http://www.mitralvalverepair.org/library, features video of select cases and teaching points of mitral valve reconstruction, as well as full-text publications of the latest research and full presentation from national meetings. This Mitral Foundation Teaching Library case will demonstrate several teaching points about residual mitral regurgitation after mitral valve repair. High velocity jets after mitral valve repair strongly suggest leaflet perforation. They're usually simple lesions to re-repair. And if patients are stable and have good ventricular function, it's usually worth a second look on bypass to identify them. They can be dynamic and they can also happen from a pressurized ventricle and when you see them, you shouldn't just trust the sailing test, you should go back on and reexamine the valve.