Abstract

Background It is a known fact that the surgery of the anterior leaflet presents more difficulties and more dubious results than in the posterior leaflet. The use of artificial chordae is not always effective and measure its length is a challenge for the surgeon. So we present our long-term results with our new original technique for shortening the elongated chordae we call, “twisting loop technique” (TLT).

Highlights

  • It is a known fact that the surgery of the anterior leaflet presents more difficulties and more dubious results than in the posterior leaflet

  • We present our long-term results with our new original technique for shortening the elongated chordae we call, “twisting loop technique” (TLT)

  • Mitral regurgitation was severe in all patients This method was applied to 34 elongated chordeae (28 in anterior leaflet and concomitantly in other 6 in posterior leaflet) Etiology was degenerative in all cases Concomitant surgery was: Eight quadrangular resection in P2, Three cleft closure, two A2 plicatures, three aortic prosthesis and three tricuspid rings .In all cases mitral ring was implanted

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Summary

Background

It is a known fact that the surgery of the anterior leaflet presents more difficulties and more dubious results than in the posterior leaflet. The use of artificial chordae is not always effective and measure its length is a challenge for the surgeon. We present our long-term results with our new original technique for shortening the elongated chordae we call, “twisting loop technique” (TLT)

Methods
Results
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