The E-to-E technique appears to be a simple and
effective solution for the above mentioned complex
situations. We used it extensively for the correction of
anterior leaflet prolapse, since it is, in our experience,
easier to carry out than other techniques and it allows
good results, comparable with those obtained with
chordal transfer or replacement (9891.6% freedom
from reoperation at 6 years). It is definitively a conve-nient alternative in case of bileaflet prolapse because
both lesions can be easily corrected with a single surgi-cal maneuver. It was successfully used also in case of
Barlow disease with excellent results