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Antonio M. Calafiore, MD  The Annals of Thoracic Surgery 

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Presentation on theme: "Antonio M. Calafiore, MD  The Annals of Thoracic Surgery "— Presentation transcript:

1 Choice of Artificial Chordae Length According to Echocardiographic Criteria 
Antonio M. Calafiore, MD  The Annals of Thoracic Surgery  Volume 81, Issue 1, Pages (January 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Perioperative transesophageal echocardiogram. The distance A between the edge of the prolapsing portion of the anterior leaflet and the plane of the mitral annulus is measured. In this case, A is 5 mm. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 When the mitral valve is exposed, the elongated chorda is measured with a ruler. In this case, the length is 30 mm. (AL = anterior leaflet.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) A mark is applied with a pen to indicate the length of the new chorda (30 to 5 = 25 mm). (B) The Gore-Tex suture (W. L. Gore & Assoc) is then tied at that level. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Postoperative transesophageal echocardiogram. Absence of mitral regurgitation. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

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