Artificial mitral valve chordae replacement made simple

Slides:

Advertisements

Similar presentations

The Rheumatic Mitral Valve and Repair Techniques in Children

Advertisements

Benjamin B. Peeler, MD, Irving L. Kron, MD

Is individualized mitral valve repair in the future?

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.

Partial mitral valve replacement for acute endocarditis

Papillary muscle sandwich plasty for ischemic mitral regurgitation: A new simple technique Susumu Ishikawa, MD, Keisuke Ueda, MD, Akio Kawasaki, MD,

Surgical approach to repair of ruptured chordae tendineae causing tricuspid regurgitation Vincent Chan, MD, Dominique Grisoli, MD, Marc Ruel, MD, MPH,

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

Robotic Mitral Valve Annuloplasty With Double-Arm Nitinol U-Clips

Harold G. Roberts, MD, J. Scott Rankin, MD, Lawrence M

Premeasured Chordal Loops for Mitral Valve Repair

Free Edge Suture Plication and Remodeling: A Technique for Anterior Mitral Leaflet Prolapse Repair Pino Fundarò, MD, Daniel G Di Mattia, MD, Maurizio.

Michael L. Ciccolo, MD, Juan C. Collazos, MD, Ruben J

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

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

Benjamin B. Peeler, MD, Irving L. Kron, MD

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

Endoscopic placement of multiple artificial chordae with robotic assistance and nitinol clip fixation J. Michael Smith, MD, Hubert Stein, BSc, BME The.

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

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,

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

Isolated Tricuspid Valve Repair After Metastatic Tumor Resection

The Rheumatic Mitral Valve and Repair Techniques in Children

Valve repair in mitral regurgitation complicated by severe annulus calcification Choi-Keung Ng, MD, Christian Punzengruber, MD, Otmar Pachinger, MD, Joachim.

Chordal Preservation in Mitral Valve Replacement

Papillary heads “optimization” in repairing functional mitral regurgitation Masashi Komeda, MD, PhD, Yutaka Koyama, Shunsuke Fukaya, Hideki Kitamura

Samer Kassem, MD, Majed Othman, MD

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

Intermediate-term results of a nonresectional dynamic repair technique in 662 patients with mitral valve prolapse and mitral regurgitation Gerald M.

Xujun Chen, MD, PhD, Ryan S. Turley, MD, Nicholas D

Commissural Closure for Repair of Mitral Commissural Prolapse

Congenital absence of posteromedial papillary muscle and anterior mitral leaflet chordae: The use of three-dimensional echocardiography and approach in.

Papillary muscle repair surgery in ischemic mitral valve patients

Partial tricuspid valve transfer for repair of mitral insufficiency due to ruptured chordae tendineae Francisco Gregori, MD, Celso O Cordeiro, MD, Ulisses.

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.

Ani C. Anyanwu, MD, FRCS, David H. Adams, MD

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

Beating-Heart Totally Endoscopic Tricuspid Valvuloplasty in Reoperative Cardiac Surgery Zerui Chen, MD, Yingjie Ke, MD, Xujing Xie, MD, Jinsong Huang,

Tricuspid Valve Repair: How I Teach It

Autograft from quadrangular resection for floppy valve repair in endocarditis Alfonso Penta de Peppo, MD, Jacob Zeitani, MD, Ruggero De Paulis, MD, Luigi.

Mitral valve hemodynamics after repair of acute posterior leaflet prolapse: Quadrangular resection versus triangular resection versus neochordoplasty

Manuel J. Antunes, MD, PhD, DSc

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

Surgical intervention for anomalous origin of the left coronary artery from the pulmonary artery: The Tokyo experience Yukihisa Isomatsu, MD, Yasuharu.

Mitral Valve Replacement Under Video Assistance Through a Minithoracotomy Federico J Benetti, MD, Jose Luis Rizzardi, MD, Lelio Pire, MD, Aldo Polanco,

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.

Robotic mitral valve repair for all prolapse subsets using techniques identical to open valvuloplasty: Establishing the benchmark against which percutaneous.

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

Ruptured papillary muscle after mitral valve replacement with preservation of chordae tendineae Peter Lemke, MD, Matthias Roth, MD, Bernd Kraus, MD,

David T.M Lai, Richard B Chard The Annals of Thoracic Surgery

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

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

Papillary muscle sling: a new functional approach to mitral repair in patients with ischemic left ventricular dysfunction and functional mitral regurgitation

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

Reoperative mitral valve replacement: importance of preservation of the subvalvular apparatus Michael A Borger, MD, PhD, Terrence M Yau, MD, MS, Vivek.

Presentation transcript:

Artificial mitral valve chordae replacement made simple David H Adams, MD, Alexander Kadner, MD, Raymond H Chen, MD, PhD The Annals of Thoracic Surgery Volume 71, Issue 4, Pages 1377-1378 (April 2001) DOI: 10.1016/S0003-4975(00)02184-6

Fig 1 (a) Placement of one or more simple Gore-Tex sutures in the papillary muscle head is easy to perform after posterior leaflet resection because of enhanced exposure. (b) Typical appearance of a myxomatous mitral valve after posterior leaflet quadrangular resection and sliding valvuloplasty. Poor leaflet apposition is present in all leaflet segments, and segmental anterior leaflet prolapse can be localized only by height comparison with the normal reference point (usually P1). (c) After ring annuloplasty symmetric leaflet apposition limits valve incompetence to the prolapsing anterior leaflet segment. (d) After annuloplasty both arms of the Gore-Tex suture are passed through the margin of the prolapsing segment. Optimal artificial chord height is determined by intermittently testing valve competency by injecting saline into the ventricle. (e) Completed repair with artificial chord in place. A symmetric line of apposition results in valve competence. The Annals of Thoracic Surgery 2001 71, 1377-1378DOI: (10.1016/S0003-4975(00)02184-6)