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Ann Thorac Surg 1982;34:710-713
© 1982 The Society of Thoracic Surgeons
From the Division of Surgery, The Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan
Accepted for publication October 7, 1981.
* Address reprint requests to Dr. Imamura, The Heart Institute of Japan, Tokyo Women's Medical College, Shinjuku-ku, Tokyo 162, Japan
Constricting the tricuspid annulus to an optimal size and ensuring competency of the suture in situ are essential to the performance of a successful de Vega annuloplasty. An approach to this goal is presented. Important maneuvers include placement of the inside suture just on the ring portion, use of a 33 mm or 35 mm valve obturator to obtain an annulus of the desired size, and ligation of the knots at their roots to prevent potential loosening.
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