Operative findings
Operative findings were consistent with the TEE: a
myxomatous MV with bileaflet prolapse and a flail segment of
the middle scallop of the posterior leaflet
The anterior leaflet was resuspended with Gortex cords and
quadrangular resection of the large middle scallop performed. A
36 mm annuloplasty ring was then sutured into place.
Cardiac activity was restored and weaning from CPB started.
Attempts to discontinue CPB resulted in severe systemic
hypotension and distention of the heart.
TEE examination of the mitral revealed the following.