Note that although the anterior leaflet takes up a larger part of the ring and rises higher, the posterior leaflet has a larger surface area.

In selected patients with particularly large redundant mitral valves, anterior leaflet plication may be added to complete separation of the mitral valve and outflow.

Typically, there are anatomic abnormalities of the tricuspid valve, with enlargement of the anterior leaflet of the valve.

Dynamic outflow obstruction (when present in HCM) is usually due to systolic anterior motion of the anterior leaflet of the mitral valve.

He performed more than 500 mitral valve repairs and described new repair techniques such as the papillary muscle repositioning for anterior leaflet and posterior commissural prolapse.

Displacement: The blood jets from the aortic regurgitation strike the anterior leaflet of the mitral valve, which often results in premature closure of the mitral leaflets.

If the anterior leaflet of the mitral valve has prolapse (floppy; lacking support), the chordae are transferred from the posterior leaflet to the anterior leaflet.

Surgical myectomy resection focused just on the subaortic septum, to increase the size of the outflow tract to reduce Venturi forces may be inadequate to abolish systolic anterior motion (SAM) of the anterior leaflet of the mitral valve.