The authors present a case of a 55 year old male with known mitral valve insufficiency. By transesophageal echo the patient was found to have a ruptured chordae on the P2 segment of the posterior leaflet of the mitral valve. The patient had coronary angiography done which revealed no evidence of coronary artery disease. He underwent minimally invasive mitral valve repair via right thoracotomy.
A quadrangular resection of the posterior leaflet is performed in conjunction with a mitral valve annuloplasty. Cannulation is via the femoral artery and femoral vein. A direct aortic cross-clamp is used in conjunction with antegrade and retrograde cardioplegia for myocardial protection.
