Key result
A modified technique for chordal replacement during mitral valve repair allows the ultimate length of artificial chordae to be determined during fixation at the papillary muscle.
This paper describes a modified surgical technique for artificial chordae replacement during mitral valve repair to optimize chordal length determination.
Answers are grounded in this paper and cite their sources.
May enable precise mitral repair; leaves open validation of durability and outcomes in trials.
The appropriate length of the artificial chordae is crucial for the proper functioning of the mitral valve after chordal replacement. In the technique described here, the artificial chordae are assembled during surgery and their lengths fixed according to the individual anatomy; they are then first attached to the margin of the prolapsed leaflet and subsequently to the papillary muscle. This ensures that the ultimate length of the artificial chordae is determined during fixation at the papillary muscle and not during knotting at leaflet level.
No takes yet. Share an insight, caveat, or question.
Paul P. Urbanski (2005) studied Mitral valve repair. Modified technique of chordal replacement was evaluated. A modified technique for chordal replacement during mitral valve repair allows the ultimate length of artificial chordae to be determined during fixation at the papillary muscle.
Synapse has enriched 10 related papers. Consider them for comparative context: