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Ann Thorac Surg 2000;70:2166-2168
© 2000 The Society of Thoracic Surgeons
a Herzzentrum, University of Leipzig, Leipzig, Germany
b Department of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa
Accepted for publication May 25, 2000.
Address reprint requests to Dr von Oppell, Department of Cardiothoracic Surgery, School of Medicine, University of Cape Town, Cape Town, 7925, South Africa
e-mail: uvonopp{at}thoracic.cts.uct.ac.za
Part of the complexity of mitral valve chordal replacement with expanded polytetrafluoroethylene (ePTFE) sutures is determining the correct replacement chordal length and knotting the ePTFE suture without sliding the knot. We describe a technique of measuring the required chordal length and making a "premeasured" Gore-Tex chordal loop that abolishes problems of inadvertently altering chordal length during fixation. This improves the reproducibility of chordal replacement surgery, and can be used both via conventional and minimally invasive approaches.
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