1. Chordal Replacement Versus Quadrangular Resection for Repair of Isolated Posterior Mitral Leaflet Prolapse 
Ruediger Lange, MD, PhD, Thomas Guenther, MD, Christian Noebauer, MD, Birgit Kiefer, MD, Walter Eichinger, MD, PhD, Bernhard Voss, MD, Robert Bauernschmitt, MD, PhD, Peter Tassani-Prell, MD, PhD, Domenico Mazzitelli, MD 
The Annals of Thoracic Surgery 
Volume 89, Issue 4, Pages (April 2010)
DOI: /j.athoracsur
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
The size of the Colvin Galloway Futureband is depicted on the x-axis. The height of the column indicates the respective percentage of patients. (Black bars = group R [resection]; white bars = group NR [no resection].)
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
Surgical technique. (A) A double-armed extended polytetrafluoroethylene (ePTFE) suture without pledgets is passed through the tip of the posterolateral papillary muscle. (B) The suture is brought up and passed through the atrial side of the prolapsed posterior mitral leaflet (PML) segment a few millimeters away from the free edge of the leaflet. (C) The length of suture is determined after testing the competence of the valve by filling the left ventricle with saline solution. Once the length of the ePTFE chorda is adjusted, a clamp is placed on the suture to avoid sliding of the knot while tying the sutures. (AML = anterior mitral leaflet.)
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4. Fig 3
Kaplan-Meier estimate of survival function for 397 patients with posterior mitral leaflet prolapse who underwent quadrangular resection (continuous line) or chordal replacement (dotted line).
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

5. Fig 4
Kaplan-Meier estimate of freedom from mitral valve–related reoperation (Reop) of 397 patients who underwent either quadrangular resection (continuous line) or chordal replacement (dotted line).
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

6. Fig 5
Kaplan-Meier estimate of freedom from severe mitral valve (MV) regurgitation of 397 patients who underwent either quadrangular resection (continuous line) or chordal replacement (dotted line).
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

7. Fig 6
Mitral regurgitation (MR), preoperatively (Preop) and at latest follow-up, including the echocardiography results of 10 patients with severe MR before reoperation (reop).
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions