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Thorac Cardiovasc Surg 2023; 71(03): 195-196
DOI: 10.1055/a-2015-1627
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Prevention of Mitral Ring Dehiscence by a Simple Modification of Suture Placement

Majd Makarious Laham
1   Cardiac Surgery Huttrop, Universitätsmedizin Essen, Essen, Nordrhein-Westfalen, Germany
,
Jerry Easo
1   Cardiac Surgery Huttrop, Universitätsmedizin Essen, Essen, Nordrhein-Westfalen, Germany
,
Mehdy Roosta-Azad
1   Cardiac Surgery Huttrop, Universitätsmedizin Essen, Essen, Nordrhein-Westfalen, Germany
,
Markus Kamler
1   Cardiac Surgery Huttrop, Universitätsmedizin Essen, Essen, Nordrhein-Westfalen, Germany
› Author Affiliations Funding None declared.
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Abstract

Ring dehiscence is a serious complication after mitral valve annuloplasty, tending to occur primarily from the posterior annulus. The tension on the ring sutures during the cardiac cycle is one of the suspected reasons; to minimize this tension, we apply four additional pledgeted sutures positioned supra-annularly at critical hinge points and could achieve a marked reduction of annular dehiscence since.

Keywords

mitral valve - surgery - surgical techniques


Publication History

Received: 03 August 2022

Accepted: 11 January 2023

Accepted Manuscript online:
18 January 2023

Article published online:
27 February 2023

© 2023. Thieme. All rights reserved.

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