1. A novel and simple technique for correction of posterior leaflet prolapse due to chordal elongation or rupture 
Antonio M. Calafiore, MD, Angela L. Iacò, MD, Adam Ibrahim, MD, Hussein Al-Amri, MD, Reda Refaie, MD, Ali Own, MD, El Shurafa Heytham, MD, Michele Di Mauro, MD 
The Journal of Thoracic and Cardiovascular Surgery 
Volume 148, Issue 4, Pages e1 (October 2014)
DOI: /j.jtcvs
Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

2. Figure 1
A, P2 is longer than normal. B, P2 length is reduced using 4 longitudinal sutures to match the height of the PL scallops. C, The scallops are sutured together with interrupted sutures. D, Schematic vision of the final results. LP, Longitudinal plication; PL, posterior leaflet.
The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs )
Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

3. Figure 2
A, P2 chordae are ruptured, mostly close to P3. B and C, P3 is sutured below P2 so its chordae will support part of P2. A portion of P2 remains without chordae. x, This suture will define the position of P3 below P2.
The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs )
Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

4. Figure E1
Transthoracic echocardiography (short-axis view) in a patient in group U. Bileaflet prolapse (A) causing severe MR (B). C, At 18 months after surgery, there is no evidence of MR. This echocardiographic finding is common to all patients, regardless of the technique used.
The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs )
Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions