Presentation is loading. Please wait.

Presentation is loading. Please wait.

Premeasured Chordal Loops for Mitral Valve Repair

Published byMeghan Willis Modified over 5 years ago

Similar presentations

Presentation on theme: "Premeasured Chordal Loops for Mitral Valve Repair"— Presentation transcript:

1 Premeasured Chordal Loops for Mitral Valve Repair
Marc Gillinov, MD, Reed Quinn, MD, Faraz Kerendi, MD, Vince Gaudiani, MD, Richard Shemin, MD, Glenn Barnhart, MD, Edward Raines, MD, Marc W. Gerdisch, MD, Michael Banbury, MD  The Annals of Thoracic Surgery  Volume 102, Issue 3, Pages e269-e271 (September 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The Chord-X Pre-Measured Loops mitral valve repair system. A set of 3 premeasured chordal loops are configured with a single pledget. The pledget is, in turn, affixed to 2 sutures with needles; these needles will be passed through the papillary muscle head and the sutures tied over a second pledget for secure attachment to the papillary muscle. Each loop is also attached to a pair of sutures, each with a needle; these sutures are used to attach the chordal loops to the leaflet edge at the site of prolapse. The dashed circle indicates the components that are retained in the patient. The Annals of Thoracic Surgery  , e269-e271DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Sizing caliper for determining chordal length. The sizing caliper is inserted into the ventricle with the tip positioned at the papillary muscle insertion of an adjacent normal chord. With the leaflet held under tension, the caliper is adjusted to determine the length of the normal chord. The measured length and the corresponding color displayed on the handle of the caliper indicate the appropriate chordal loop length. The Annals of Thoracic Surgery  , e269-e271DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Technique for insertion of chordal loops. (A) After sizing, the 2 papillary muscle sutures are passed through the tip of the papillary muscle and a second pledget is added. (B) The papillary muscle suture is tied, affixing the chordal loops to the papillary muscle. (C) Each chordal loop is affixed to the free edge of the leaflet by passing each of the 2 attached needles through the leaflet; for each loop, the sutures should be separated by no more than 5 mm at the leaflet edge. (D) The sutures associated with each loop are tied, thereby securely attaching the chordal loops to the leaflet edge. The Annals of Thoracic Surgery  , e269-e271DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Premeasured Chordal Loops for Mitral Valve Repair"

Similar presentations

The STS National Database

The STS National Database
Min Soo Kim, MD, Jong Ho Cho, MD, PhD  The Annals of Thoracic Surgery 

Min Soo Kim, MD, Jong Ho Cho, MD, PhD  The Annals of Thoracic Surgery 
Neonatal Flail Tricuspid Valve: Diagnosis and Management

Neonatal Flail Tricuspid Valve: Diagnosis and Management
Feasibility and Intermediate Term Outcome of Repair of Prolapsing Anterior Mitral Leaflets With Artificial Chordal Replacement in 152 Patients  Gerald.

Feasibility and Intermediate Term Outcome of Repair of Prolapsing Anterior Mitral Leaflets With Artificial Chordal Replacement in 152 Patients  Gerald.
Papillary muscle–to–anterior annulus stitches: Another technique to prevent systolic anterior motion after mitral valve repair  Samer Kassem, MD, Hicham.

Papillary muscle–to–anterior annulus stitches: Another technique to prevent systolic anterior motion after mitral valve repair  Samer Kassem, MD, Hicham.
Neonatal Mitral and Tricuspid Valve Repair for In Utero Papillary Muscle Rupture  Petros V. Anagnostopoulos, MD, Nelson Alphonso, MD, Lars Nölke, MD, Lisa.

Neonatal Mitral and Tricuspid Valve Repair for In Utero Papillary Muscle Rupture  Petros V. Anagnostopoulos, MD, Nelson Alphonso, MD, Lars Nölke, MD, Lisa.
Transcatheter Valve Implantation in Mitral Annular Calcification During Open Surgery: Extended Collar Technique  Michael Ghosh-Dastidar, MBBS, FRCSCTh,

Transcatheter Valve Implantation in Mitral Annular Calcification During Open Surgery: Extended Collar Technique  Michael Ghosh-Dastidar, MBBS, FRCSCTh,
Novel Use of Transesophageal Echocardiographic Probe for Intraoperative Epicardial Imaging  Adrian Ionescu, MD, FRCP, Michael Gilbert, MD, FRCA, Pankaj.

Novel Use of Transesophageal Echocardiographic Probe for Intraoperative Epicardial Imaging  Adrian Ionescu, MD, FRCP, Michael Gilbert, MD, FRCA, Pankaj.
Repair of anterior leaflet mitral valve prolapse: chordal replacement versus chordal shortening  Michael R Phillips, MD, Richard C Daly, MD, Hartzell.

Repair of anterior leaflet mitral valve prolapse: chordal replacement versus chordal shortening  Michael R Phillips, MD, Richard C Daly, MD, Hartzell.
Tricuspid Valve Repair With Artificial Chorda After Previous Ventricular Septal Defect Repair  Toshiharu Sassa, MD, Ken Okamoto, MD, Hirokazu Tazume,

Tricuspid Valve Repair With Artificial Chorda After Previous Ventricular Septal Defect Repair  Toshiharu Sassa, MD, Ken Okamoto, MD, Hirokazu Tazume,
Antonio M. Calafiore, MD  The Annals of Thoracic Surgery 

Antonio M. Calafiore, MD  The Annals of Thoracic Surgery 
Nicolas H. Pope, MD, Scott Lim, MD, Gorav Ailawadi, MD 

Nicolas H. Pope, MD, Scott Lim, MD, Gorav Ailawadi, MD 
Complex Surgical Valve Repair After Failed Percutaneous Mitral Intervention Using the MitraClip Device  Stephan Geidel, MD, Jörg Ostermeyer, MD, Michael.

Complex Surgical Valve Repair After Failed Percutaneous Mitral Intervention Using the MitraClip Device  Stephan Geidel, MD, Jörg Ostermeyer, MD, Michael.
Measured Tube Technique for Ensuring the Correct Length of Slippery Artificial Chordae in Mitral Valvuloplasty  Yoshiro Matsui, MD, Suguru Kubota, MD,

Measured Tube Technique for Ensuring the Correct Length of Slippery Artificial Chordae in Mitral Valvuloplasty  Yoshiro Matsui, MD, Suguru Kubota, MD,
Factors Affecting Survival After Mitral Valve Replacement in Patients With Prosthesis– Patient Mismatch  Abdulhameed Aziz, MD, Jennifer S. Lawton, MD,

Factors Affecting Survival After Mitral Valve Replacement in Patients With Prosthesis– Patient Mismatch  Abdulhameed Aziz, MD, Jennifer S. Lawton, MD,
Improved Closure Technique for Uniportal Video-Assisted Thoracic Surgery: Double- Embedding Stitching Method  Lijian Huang, MD, Lufeng Zhao, MD, Wenshan.

Improved Closure Technique for Uniportal Video-Assisted Thoracic Surgery: Double- Embedding Stitching Method  Lijian Huang, MD, Lufeng Zhao, MD, Wenshan.
Simple and Easy Method for Chordal Reconstruction During Mitral Valve Repair  Yasuhiro Shudo, MD, Kazuhiro Taniguchi, PhD, Toshiki Takahashi, PhD, Hajime.

Simple and Easy Method for Chordal Reconstruction During Mitral Valve Repair  Yasuhiro Shudo, MD, Kazuhiro Taniguchi, PhD, Toshiki Takahashi, PhD, Hajime.
A Device for Ensuring the Neochordae Replacement in Mitral Valve Repair  Hiroshi Iida, MD, PhD, Toru Sunazawa, MD, Atsuo Doi, MD, Keiichi Ishida, MD, PhD,

A Device for Ensuring the Neochordae Replacement in Mitral Valve Repair  Hiroshi Iida, MD, PhD, Toru Sunazawa, MD, Atsuo Doi, MD, Keiichi Ishida, MD, PhD,
Repair of anterior leaflet prolapse by papillary muscle repositioning: a new surgical option  Gilles D Dreyfus, MD, Toufan Bahrami, MD, Naji Alayle, MD,

Repair of anterior leaflet prolapse by papillary muscle repositioning: a new surgical option  Gilles D Dreyfus, MD, Toufan Bahrami, MD, Naji Alayle, MD,
Chordae Replacement Versus Resection for Repair of Isolated Posterior Mitral Leaflet Prolapse: À Ègalité  Joerg Seeburger, MD, Volkmar Falk, MD, PhD,

Chordae Replacement Versus Resection for Repair of Isolated Posterior Mitral Leaflet Prolapse: À Ègalité  Joerg Seeburger, MD, Volkmar Falk, MD, PhD,

Similar presentations

Ads by Google