Thorac Cardiovasc Surg 2005; 53(5): 315-317
DOI: 10.1055/s-2005-865685
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Modified Technique of Chordal Replacement for Mitral Valve Repair

P. P. Urbanski1
  • 1Herz- und Gefäß-Klinik, Bad Neustadt, Germany
Further Information

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.

References

  • 1 Frater R WM, Vetter H O, Zussa C, Dahm M. Chordal replacement in mitral valve repair.  Circulation. 1990;  82 125-130
  • 2 David T E, Bos J, Rakowski H. Mitral valve repair by replacement of chordae tendineae with polytetrafluoroethylene sutures.  J Thorac Cardiovasc Surg. 1991;  101 495-501
  • 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

Dr. Paul P. Urbanski

Herz- und Gefäß-Klinik

Salzburger Leite 1

97616 Bad Neustadt

Germany

Phone: + 499771662416

Fax: + 49 97 71 65 12 19

Email: p.urbanski@herzchirurgie.de