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J Thorac Cardiovasc Surg 2008;136:1597-1599
© 2008 The American Association for Thoracic Surgery

Brief Communication

Artificial chordae: A simple clip and tie technique

Cardiothoracic Surgical Unit, Grantham Hospital, Hong Kong SAR, China

Received for publication December 4, 2007; accepted for publication December 8, 2007.

^_* Address for reprints: Timmy W. K. Au, MBBS, FRCS, 3/F CTSU, Grantham Hospital, Wong Chuk Hang, Hong Kong SAR, China. (Email: auwingkuk@yahoo.com.hk).

The first 20% of the full text of this article appears below.

Mitral regurgitation caused by anterior leaflet prolapse can be repaired with resupporting neochordae made from expanded polytetrafluoroethylene (Gore-Tex; W.L. Gore & Associates, Inc, Flagstaff, Ariz) sutures. This technique has been shown in various series to have excellent long-term results.¹ Technical difficulties, however, may be encountered when measuring the correct length and tying knots. Here we describe a simple and effective surgical technique to prepare Gore-Tex neochordae and review our midterm clinical results.

Operative Technique

Patients are put on cardiopulmonary bypass with bicaval cannulation. The mitral valve is exposed through the left atrium. The valve is then analyzed with the help of two nerve hooks (Figure 1, A ). Artificial chordae are made with 4-0 Gore-Tex suture with pledgets. The suture is first passed through the papillary muscle and then secured with 6 to 8 knots. Both braids are then passed through the prolapsed . . . [Full Text of this Article]

This article has been cited by other articles:

				U. Bortolotti, A. D. Milano, and R. W. M. Frater Mitral Valve Repair With Artificial Chordae: A Review of Its History, Technical Details, Long-Term Results, and Pathology Ann. Thorac. Surg., February 1, 2012; 93(2): 684 - 691. [Abstract] [Full Text] [PDF]