Strategy of complete preservation of the subvalvular structures in the mitral valve replacement

Complete preservation of leaflets for mitral valve replacement to maintain geometry and the function of left ventricle in the near and distant period is necessary. The aim of study was to analyze these procedures. Bileaflet preservation of the anatomical architectonics of the left ventricle in combination with the surgical reduction of the enlarged left atrium will allow to optimize the postoperative geometry and to improve the remodeling of all the left heart along with improved long-term results of patients with mitral valve replacement.