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DOI: 10.1055/s-2005-865685
© Georg Thieme Verlag KG Stuttgart · New York
Modified Technique of Chordal Replacement for Mitral Valve Repair
Publication History
Received July 25, 2004
Publication Date:
06 October 2005 (online)
Abstract
The appropriate length of the artificial chordae is crucial for the proper functioning of the mitral valve after chordal replacement. In the technique described here, the artificial chordae are assembled during surgery and their lengths fixed according to the individual anatomy; they are then first attached to the margin of the prolapsed leaflet and subsequently to the papillary muscle. This ensures that the ultimate length of the artificial chordae is determined during fixation at the papillary muscle and not during knotting at leaflet level.
Key words
Mitral valve insufficiency - mitral valve repair - artificial chordae
References
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- 3 Sarsam M AI. Simplified technique for determining the length of artificial chordae in mitral valve repair. Ann Thorac Surg. 2002; 73 1659-1660
- 4 Duran C MG, Pekar F. Techniques for ensuring the correct length of new mitral chords. J Heart Valve Dis. 2003; 12 156-161
- 5 Von Oppell U O, Mohr F W. Chordal replacement for both minimally invasive and conventional mitral valve surgery using premeasured Gore-Tex loops. Ann Thorac Surg. 2000; 70 2166-2168
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