We describe a simple method to repair anterior mitral leaflets with elongated chordae, using chordal shortening and transfer techniques on the same segment. With this method, optimal elongated chordae shortening is determined easily, and shortened chordae are supported by the transferred chordae.
DavidTEArmstrongSSunZ. Replacement of chordae tendineae with Gore-Tex sutures: a ten-year experience. J Heart Valve Dis1996; 5: 352–355.
2.
CarpentierAChauvaudSFabianiJNDelocheARellandJLessanaA. Reconstructive surgery of mitral valve incompetence: ten-year appraisal. J Thorac Cardiovasc Surg1980; 79: 338–348.
3.
FraterRWM. RobertsAJContiCR. Mitral valvuloplasty. Current surgery of the heart1987Philadelphia: Lippincott, 62–77.
4.
SmediraNGSelmanRCosgroveDMMcCarthyPMLytleBWTaylorPC. Repair of anterior leaflet prolapse: chordal transfer is superior to chordal shortening. J Thorac Cardiovasc Surg1996; 112: 287–292.
5.
BraunbergerEDelocheABerrebiAAbdallahFCelestinJAMeimounP. Very long-term results (more than 20 years) of valve repair with Carpentier’s techniques in nonrheumatic mitral valve insufficiency. Circulation2001; 18(104(Suppl I)): 8–11.