Premeasured Chordal Loops for Mitral Valve Repair

Slides:

Advertisements

Similar presentations

The STS National Database

Advertisements

Min Soo Kim, MD, Jong Ho Cho, MD, PhD The Annals of Thoracic Surgery

Neonatal Flail Tricuspid Valve: Diagnosis and Management

Feasibility and Intermediate Term Outcome of Repair of Prolapsing Anterior Mitral Leaflets With Artificial Chordal Replacement in 152 Patients Gerald.

Papillary muscle–to–anterior annulus stitches: Another technique to prevent systolic anterior motion after mitral valve repair Samer Kassem, MD, Hicham.

Neonatal Mitral and Tricuspid Valve Repair for In Utero Papillary Muscle Rupture Petros V. Anagnostopoulos, MD, Nelson Alphonso, MD, Lars Nölke, MD, Lisa.

Transcatheter Valve Implantation in Mitral Annular Calcification During Open Surgery: Extended Collar Technique Michael Ghosh-Dastidar, MBBS, FRCSCTh,

Novel Use of Transesophageal Echocardiographic Probe for Intraoperative Epicardial Imaging Adrian Ionescu, MD, FRCP, Michael Gilbert, MD, FRCA, Pankaj.

Repair of anterior leaflet mitral valve prolapse: chordal replacement versus chordal shortening Michael R Phillips, MD, Richard C Daly, MD, Hartzell.

Tricuspid Valve Repair With Artificial Chorda After Previous Ventricular Septal Defect Repair Toshiharu Sassa, MD, Ken Okamoto, MD, Hirokazu Tazume,

Antonio M. Calafiore, MD The Annals of Thoracic Surgery

Nicolas H. Pope, MD, Scott Lim, MD, Gorav Ailawadi, MD

Complex Surgical Valve Repair After Failed Percutaneous Mitral Intervention Using the MitraClip Device Stephan Geidel, MD, Jörg Ostermeyer, MD, Michael.

Measured Tube Technique for Ensuring the Correct Length of Slippery Artificial Chordae in Mitral Valvuloplasty Yoshiro Matsui, MD, Suguru Kubota, MD,

Factors Affecting Survival After Mitral Valve Replacement in Patients With Prosthesis– Patient Mismatch Abdulhameed Aziz, MD, Jennifer S. Lawton, MD,

Improved Closure Technique for Uniportal Video-Assisted Thoracic Surgery: Double- Embedding Stitching Method Lijian Huang, MD, Lufeng Zhao, MD, Wenshan.

Simple and Easy Method for Chordal Reconstruction During Mitral Valve Repair Yasuhiro Shudo, MD, Kazuhiro Taniguchi, PhD, Toshiki Takahashi, PhD, Hajime.

A Device for Ensuring the Neochordae Replacement in Mitral Valve Repair Hiroshi Iida, MD, PhD, Toru Sunazawa, MD, Atsuo Doi, MD, Keiichi Ishida, MD, PhD,

Repair of anterior leaflet prolapse by papillary muscle repositioning: a new surgical option Gilles D Dreyfus, MD, Toufan Bahrami, MD, Naji Alayle, MD,

Chordae Replacement Versus Resection for Repair of Isolated Posterior Mitral Leaflet Prolapse: À Ègalité Joerg Seeburger, MD, Volkmar Falk, MD, PhD,

Papillary Fibroelastoma in the Left Ventricle Resected Under the Guidance of a Gastrointestinal Fiberscope Masafumi Akita, MD, PhD, Hiroshi Ando, MD,

Transaortic Alfieri Edge-to-Edge Repair for Functional Mitral Regurgitation Ken-ichi Imasaka, MD, PhD, Eiki Tayama, MD, PhD, Shigeki Morita, MD, PhD,

A Simple, Effective, and Inexpensive Technique for Exposure of Papillary Muscles in Minimally Invasive Mitral Valve Repair: Wakka Technique Minoru Tabata,

Mitral Valve Repair With Artificial Chordae: A Review of Its History, Technical Details, Long-Term Results, and Pathology Uberto Bortolotti, MD, Aldo.

A Standardized Loop Technique for Mitral Valve Repair

Who Do You Say You Are? The Annals of Thoracic Surgery

Isolated Tricuspid Valve Repair After Metastatic Tumor Resection

Suspension String: A New Method of Aortic Valvuloplasty for Aortic Insufficiency and Ventricular Septal Defect Zhixiong Huang, MD The Annals of Thoracic.

Use of Amiodarone After Major Lung Resection

Samer Kassem, MD, Majed Othman, MD

Minimally Invasive Fibrillating Heart Surgery: A Safe and Effective Approach for Mitral Valve and Surgical Ablation for Atrial Fibrillation Paul S. Massimiano,

Maria Kalliopi Konstantinidou, MD, PhD, Neil Moat, MD, PhD

Jorge Sierra, MD, FETCS, Nadia H. Lahlaïdi, MD, Jan T

Paradoxical Neochords to Treat Systolic Anterior Motion in Hypertrophic Obstructive Cardiomyopathy Samer Kassem, MD, PhD, Maurizio Roberto, MD, PhD,

A New Surgical Repair Technique for Ischemic Total Papillary Muscle Rupture Sung Kwang Lee, MD, Woon Heo, MD, Ho-Ki Min, MD, Do Kyun Kang, MD, Hee Jae.

Commissural Closure for Repair of Mitral Commissural Prolapse

Repair of a Duplicate Mitral Valve in a Patient With Ascending Aortic Aneurysm and Bicuspid Aortic Valve Guy Jensen, MD, Thomas Smith, MD, Mona Flores,

A Novel Method of Leaflet Reconstruction After Triangular Resection for Posterior Mitral Valve Prolapse Rakesh M. Suri, MD, DPhil, Harold M. Burkhart,

Technique for Chordae Replacement in Mitral Valve Repair

How to Adjust Neochordae Length Accurately in Degenerative Mitral Regurgitation Jorge Rodriguez-Roda, MD, Javier Miguelena, MD, Jose Lopez, MD, PhD, Miren.

Editorial Board, January 2010

Simple, Safe and Easy Technique to Ensure the Correct Length of Artificial Chordae in Mitral Valve Repair Khalil Fattouch, MD, PhD, Giuseppe Bianco,

Evaluation of a Shape Memory Alloy Reinforced Annuloplasty Band for Minimally Invasive Mitral Valve Repair Molly F. Purser, PhD, Andrew L. Richards,

Repair of congenital tricuspid valve abnormalities with artificial chordae tendineae V.Mohan Reddy, MD, Doff B McElhinney, MD, Michael M Brook, MD, Norman.

Early and Midterm Outcomes of Folding Valvuloplasty Without Leaflet Resection for Myxomatous Mitral Valve Disease Minoru Tabata, MD, MPH, Ravi K. Ghanta,

Robert W. Loar, MD, Shiraz A

A New Device for Ensuring the Correct Length of Artificial Chordae in Mitral Valvuloplasty Yoshiro Matsui, MD, Yasuhisa Fukada, MD, Yuji Naito, MD, Shigeyuki.

Bilateral Opposing Loop Technique for Securing Air Knots

L. Wiley Nifong, MD, Evelio Rodriguez, MD, W. Randolph Chitwood, MD

Lead-Sparing Tricuspid Valve Repair Damaged by Pacemaker Lead

A Novel Technique of Supra-Annular Mitral Valve Replacement

Paul Urbanski, MD, PhD The Annals of Thoracic Surgery

Loop-in-Loop Technique in Mitral Valve Repair via Minithoracotomy

Modified Edge-to-Edge Technique for Correction of Congenital Mitral Regurgitation in Infants and Children Gang Zhang, MD, Fusheng Zhang, MD, Mei Zhu,

Posterior Chordal Cutting in Rheumatic Mitral Regurgitation Due to Hypomobility of the Posterior Leaflet Antonio Maria Calafiore, MD, Ibrahim Farah,

Invited Commentary The Annals of Thoracic Surgery

Functional and Physiologic Results of Video-Assisted Thoracoscopic Diaphragm Plication in Adult Patients With Unilateral Diaphragm Paralysis Richard.

Tricuspid Valve Repair of Idiopathic Papillary Muscle Rupture

The American Board of Thoracic Surgery: Update

Chordal Replacement Versus Quadrangular Resection for Repair of Isolated Posterior Mitral Leaflet Prolapse Ruediger Lange, MD, PhD, Thomas Guenther,

Mitral Valve Surgery in Patients With Severe Mitral Annular Calcification Tomoya Uchimuro, MD, Toshihiro Fukui, MD, Atsushi Shimizu, MD, Shuichirou Takanashi,

J. Scott Rankin, MD, Ricardo E. Orozco, Tracey L. Rodgers, David D

Marcelo G. Cardarelli, MD, James S. Gammie, MD, James M

The arithmetic of a successful mitral valve repair

The Impact of New Technology on Cardiothoracic Surgical Practice

Artificial mitral valve chordae replacement made simple

Chordal replacement for both minimally invasive and conventional mitral valve surgery using premeasured Gore-Tex loops Ulrich Otto von Oppell, PhD, Friedrich.

Effects of Annular Size, Transmitral Pressure, and Mitral Flow Rate on the Edge-To- Edge Repair: An In Vitro Study Jorge H. Jimenez, MS, Joseph Forbess,

Huseyin Okutan, MD The Annals of Thoracic Surgery

Evelio Rodriguez, MD, L. Wiley Nifong, MD, Michael W. A

Presentation transcript:

Premeasured Chordal Loops for Mitral Valve Repair Marc Gillinov, MD, Reed Quinn, MD, Faraz Kerendi, MD, Vince Gaudiani, MD, Richard Shemin, MD, Glenn Barnhart, MD, Edward Raines, MD, Marc W. Gerdisch, MD, Michael Banbury, MD The Annals of Thoracic Surgery Volume 102, Issue 3, Pages e269-e271 (September 2016) DOI: 10.1016/j.athoracsur.2016.03.018 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The Chord-X Pre-Measured Loops mitral valve repair system. A set of 3 premeasured chordal loops are configured with a single pledget. The pledget is, in turn, affixed to 2 sutures with needles; these needles will be passed through the papillary muscle head and the sutures tied over a second pledget for secure attachment to the papillary muscle. Each loop is also attached to a pair of sutures, each with a needle; these sutures are used to attach the chordal loops to the leaflet edge at the site of prolapse. The dashed circle indicates the components that are retained in the patient. The Annals of Thoracic Surgery 2016 102, e269-e271DOI: (10.1016/j.athoracsur.2016.03.018) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Sizing caliper for determining chordal length. The sizing caliper is inserted into the ventricle with the tip positioned at the papillary muscle insertion of an adjacent normal chord. With the leaflet held under tension, the caliper is adjusted to determine the length of the normal chord. The measured length and the corresponding color displayed on the handle of the caliper indicate the appropriate chordal loop length. The Annals of Thoracic Surgery 2016 102, e269-e271DOI: (10.1016/j.athoracsur.2016.03.018) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Technique for insertion of chordal loops. (A) After sizing, the 2 papillary muscle sutures are passed through the tip of the papillary muscle and a second pledget is added. (B) The papillary muscle suture is tied, affixing the chordal loops to the papillary muscle. (C) Each chordal loop is affixed to the free edge of the leaflet by passing each of the 2 attached needles through the leaflet; for each loop, the sutures should be separated by no more than 5 mm at the leaflet edge. (D) The sutures associated with each loop are tied, thereby securely attaching the chordal loops to the leaflet edge. The Annals of Thoracic Surgery 2016 102, e269-e271DOI: (10.1016/j.athoracsur.2016.03.018) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions