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Mitral Regurgitation and KISS Repair: A Doodle Journey

Thursday, July 4, 2024

This video provides a simple explanation of mitral regurgitation pathophysiology and the technique developed by the author over the past 10 years, known as KISS. This visual presentation provides a thorough understanding of mitral regurgitation and advanced surgical techniques explained through an old-school doodle.

This technique combines three essential elements, including linear reconstruction, prefabricated neochords, and a full ring. Carpentier's classification is presented as a guide in patient treatment, allowing selection between medical and surgical options.


  1. Carpentier, A., Adams, D. H., & Filsoufi, F. (2010). Carpentier’s Reconstructive Valve Surgery. Saunders.
  2. Carpentier, A. (1983). Cardiac valve surgery—The “French correction.” Journal of Thoracic and Cardiovascular Surgery, 86(3), 323-337.
  3. David, T. E., Armstrong, S., & McCrindle, B. W. (1993). The advantages of mitral valve repair in adults. The Annals of Thoracic Surgery, 56(2), 454-460.
  4. Carpentier, A., Chauvaud, S., Fabiani, J. N., Deloche, A., Relland, J., Lessana, A., … & Dubost, C. (1980). Reconstructive surgery of mitral valve incompetence: Ten-year appraisal. The Journal of thoracic and cardiovascular surgery, 79(3), 338-348.
  5. David, T. E. (1991). Replacement of chordae tendineae with expanded polytetrafluoroethylene sutures. The Annals of Thoracic Surgery, 52(1), 126-127.


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