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Alexander Kadner
Michele Genoni
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Ann Thorac Surg 2006;82:761-762
© 2006 The Society of Thoracic Surgeons

How to do it

Application and Adjustment of Artificial Chordae to the Mitral Valve Using an Approach Through the Aortic Valve

René Prêtre, MD*, Gregory Khatchatourov, MD, Alexander Kadner, MD, Michele Genoni, MD

Department of Surgery, Clinic for Cardiovascular Surgery, University Hospital Zürich, Switzerland

Accepted for publication July 19, 2005.

* Address correspondence to Dr Pretre, Department of Surgery, Clinic for Cardiovascular Surgery, University Hospital, Raemistrasse 100, Zürich, CH-8091 Switzerland. (Email: rene.pretre{at}usz.ch).

Insertion of artificial chordae or shortening of native ones on the mitral valve with precise determination of their length can be done through the aortic annulus. This route was used to correct a prolapse of the anterior leaflet in 7 patients and resulted in stable repair with no residual insufficiency (4 patients) or trivial residual insufficiency (3 patients).






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