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Ann Thorac Surg 2007;83:1902-1903
© 2007 The Society of Thoracic Surgeons

How To Do It

Simple, Safe and Easy Technique to Ensure the Correct Length of Artificial Chordae in Mitral Valve Repair

Khalil Fattouch, MD, PhD*, Giuseppe Bianco, MD, PhD, Fabrizio Sbraga, MD, Roberta Sampognaro, MD, Giovanni Ruvolo, MD

Unit of Cardiac Surgery, University of Palermo, Palermo, Italy

Accepted for publication June 1, 2006.

* Address correspondence to Dr Fattouch, University of Palermo, Cardiac Surgery Department, Via Liborio Giuffrè 5, Palermo, 90100 Italy (Email: khalilfattouch{at}hotmail.com).

Replacement of diseased chordae with Gore-Tex sutures (W. L. Gore & Assoc, Flagstaff, AZ) in patients with degenerative mitral valve insufficiency has become a standard technique used by surgeons in mitral valve repair with good long-term results. Nevertheless, determining the correct length of the artificial chordae has remained problematic. Although various procedures have been previously published, in this article we describe our approach used to achieve an accurate chordal height adjustment.




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