Alfieri Procedure



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Serial transesophageal echocardiographic images of the mitral valve showing the appearance following the Alfieri mitral valve repair procedure. A stitch approximates the edges of the posterior and anterior mitral leaflets. It is also called the "bow-tie", or double orifice repair.
The location of the suture is based on the location of the mitral insufficiency jet.
Reference: Eur J Cardiothorac Surg 1995;9:621-626



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