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Repair in rhematic mitral valve disease. The leaflets are thickened and akinetic. Stenosis of the valve is usually predominant but it incompetence may coexist. Commissurotomy and ring annuloplasty are performed. (Reprinted with permission from Carpentier A, Adams DH, Filsoufi F. Carpentier’s Reconstructive Valve Surgery. From Valve Analysis to Valve Reconstruction. 2010 Saunders Elsevier.).
