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

Slides:

Advertisements

Similar presentations

Impact of Moderate Ischemic Mitral Regurgitation After Isolated Coronary Artery Bypass Grafting Khalil Fattouch, MD, PhD, Roberta Sampognaro, MD, Giuseppe.

Advertisements

Novel knot-tying technique for mitral valve repair

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.

The First Cardiac Operation Using Cardiopulmonary Bypass

Extended neochord weaving technique for degenerative mitral valve disease Taichi Sakaguchi, MD, Toshinori Totsugawa, MD, Kentaro Tamura, MD, Hidenori.

Premeasured Chordal Loops for Mitral Valve Repair

Successful Robot-Assisted Repair of Congenital Mitral Valve Regurgitation Vijayakumar Raju, MD, Harold M. Burkhart, MD, Frank Cetta, MD, Rakesh M. Suri,

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

Face-to-face single patch: A new technique to repair the commissures of the mitral valve Samer Kassem, MD, PhD, Khalid Al-Faraidy, MD, Yasser Elkady,

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,

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,

Mini-Bentall Procedure: The “French Cuff” Technique

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,

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

Use of an Expanded Polytetrafluoroethylene Patch as an Artificial Leaflet in Mitral Valve Plasty: An Early Experience Toshiaki Ito, MD, Atsuo Maekawa,

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.

Chordal Preservation in Mitral Valve Replacement

Samer Kassem, MD, Majed Othman, MD

Fontan Conversion to One and One Half Ventricle Repair

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,

Qingyu Wu, MD, Lufeng Zhang, MD, Rui Zhu, MD

Commissural Closure for Repair of Mitral Commissural Prolapse

Papillary muscle repair surgery in ischemic mitral valve patients

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

Surgical repair of the congenitally malformed mitral valve in infants and children Elias A Zias, MD, Constantine Mavroudis, MD, Carl L Backer, MD, Lisa.

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

Tricuspid Valve Repair: How I Teach It

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

Tirone E. David, MD, Carolyn M. David, BN, Cedric Manlhiot, MS

Use of Barbed Suture in Robot-Assisted Mitral Valvuloplasty

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

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

Chordal Replacement With Expanded Polytetrafluoroethylene Sutures in Mitral Valve Repair Tirone E. David Operative Techniques in Thoracic and Cardiovascular.

Off-Pump Plication of Left Ventricular Aneurysm

Successful Biventricular Conversion Late After Primary One and One-Half Ventricle Repair Takaya Hoashi, MD, PhD, Masataka Kitano, MD, Koji Kagisaki,

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,

Cost-Effectiveness of Mitral Valve Repair Versus Replacement by Biologic or Mechanical Prosthesis Ariel Beresniak, MD, PhD, Brigitte Sabatier, PharmD,

Tricuspid and Aortic Valve and Ventricular Septal Defect Endocarditis: An Unusual Presentation of Acute Q Fever Sebastian Pagni, MD, Anthony Dempsey,

Invited Commentary The Annals of Thoracic Surgery

Mitral Valve Basal Chordae: Comparative Anatomy and Terminology

Tricuspid Valve Repair of Idiopathic Papillary Muscle Rupture

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

Mitral Repair Versus Replacement for Ischemic Mitral Regurgitation

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

Y. Joseph Woo, MD, Michael A. Acker, MD The Annals of Thoracic Surgery

Simplified nonresectional leaflet remodeling mitral valve repair for degenerative mitral regurgitation Y. Joseph Woo, MD, John W. MacArthur, MD The.

Roland Fasol, MD, Katja Mahdjoobian, MD The Annals of Thoracic Surgery

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.

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

Marc Gillinov, MD, Per Wierup, MD, PhD, Stephanie Mick, MD

Masakazu Aoki, MD, Toshiaki Ito, MD, PhD

Pericardial Patch Augmentation for Reconstruction of Incompetent Bicuspid Aortic Valves Mirko Doss, MD, Reinhard Moid, MD, Jeffrey Paul Wood, MD, Aleksandra.

Presentation transcript:

Simple, Safe and Easy Technique to Ensure the Correct Length of Artificial Chordae in Mitral Valve Repair Khalil Fattouch, MD, PhD, Giuseppe Bianco, MD, PhD, Fabrizio Sbraga, MD, Roberta Sampognaro, MD, Giovanni Ruvolo, MD The Annals of Thoracic Surgery Volume 83, Issue 5, Pages 1902-1903 (May 2007) DOI: 10.1016/j.athoracsur.2006.06.012 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (Step 1a) Placement of the Gore-Tex sutures (W. L. Gore & Assoc, Flagstaff, AZ) in the papillary muscle head is easy to perform before annuloplasty remodelling. (Step 1b) Identification of one or more scallops prolapse and placement of the free arms of the Gore-Tex sutures through the free edge of the prolapsed scallops. (Step 2) An edge-to-edge repair is performed to achieve a good leaflet apposition with valve competency tested with water. (Step 3a) Remodelling annuloplasty with an appropriate ring. (Step 3b) The Gore-Tex sutures were tied permanently, after ring implantation, under testing valve competency by injecting water into the left ventricle. (Step 4a) The edge-to-edge suture was cut and removed. (Step 4b) Replacement of the free arms of the Gore-Tex sutures through the free margin from atrial to ventricular side and finally tied and cut. The Annals of Thoracic Surgery 2007 83, 1902-1903DOI: (10.1016/j.athoracsur.2006.06.012) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions