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Ann Thorac Surg 1998;66:957-958
© 1998 The Society of Thoracic Surgeons

How to Do It

Reversible snaring for proper prosthetic seating during valve replacement

Fritz J. Baumgartner, MDa, Bassam O. Omari, MDa, Lillia Stuart, RNa, Jeffrey C. Milliken, MDa, Ronald J. Nelson, MDa, John M. Robertson, MDa

a Division of Cardiothoracic Surgery, Harbor-UCLA Medical Center, Torrance, California, USA

Accepted for publication April 24, 1998.

Address reprint requests to Dr Baumgartner, Pacific Cardiothoracic Surgery Group, St. John’s Regional Medical Center, 1700 N Rose Ave, Suite 440, Oxnard, CA 93030

A method of reversible suture snaring is described for evaluating the final valve seating and positioning before knot tying of valve sutures. This allows for alteration of the operative plan before investing substantial ischemic time in a nonfunctional result. The procedure has been used in 577 consecutive prosthetic valve replacements in the past 5 years. The technique maintains proper seating while the valve is permanently anchored in place.






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