Bilateral Opposing Loop Technique for Securing Air Knots Laura M. Seese, MD, Faisal G. Bakaeen, MD, Ibrahim Sultan, MD, Danny Chu, MD The Annals of Thoracic Surgery Volume 105, Issue 6, Pages e277-e278 (June 2018) DOI: 10.1016/j.athoracsur.2017.12.043 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions
Fig 1 (A) An incompletely seated air knot on a mechanical valve prosthesis. (B) Bilateral opposing loop technique (BOLT) with two interrupted sutures (white) placed through the incompletely seated air knot (blue) and through both of the laterally secured adjacent mattress sutures (blue). (C) Resolution of incompletely seated air knot demonstrated with both limbs of the adjacent sutures tied to complete the BOLT technique. The Annals of Thoracic Surgery 2018 105, e277-e278DOI: (10.1016/j.athoracsur.2017.12.043) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions