Minimally invasive mitral valve repair for Barlow’s syndrome with functional prolapse using artificial chords

Mitral valve repair is the gold standard for mitral valve regurgitation. Minimally invasive approaches are established even in complex pathology like Barlow’s syndrome. A Barlow valve is considered difficult to repair, a comprehensive review concerning various successful repair techniques is given. The complex pathophysiology of a subgroup of patients presenting with functional prolapse is described and a simple repair strategy is highlighted. In the video a fully endoscopic mitral valve repair of a Barlow valve with functional prolapse is demonstrated.