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The Journal of Cardiovascular Surgery 2001 April;42(2):217-9

language: English

Anchoring the Duran flexible annuloplasty ring with continuous sutures

Tanemoto K., Kanaoka Y., Murakami T., Kuroki K., Minami H.

From ­the Department of Cardiovascular Surgery Iwakuni National Hospital, Yamaguchi, Japan


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We practised a deviced meth­od of anchor­ing ­the Duran flex­ible ­ring ­with con­tin­u­ous ­sutures. After pass­ing ­through 3/0 mono­fil­a­ment ­sutures at ­the ­right ­and ­left ­fibrous ­trigones, ­both ­sutures ­are ­passed ­through ­the ­ring ­between ­the cor­re­spond­ing ­ring mark­er ­and con­tin­u­ous ­sutures ­are ­placed to ­attach ­the ­ring to ­the ­mitral ­valve annu­lus. This tech­nique ­requires ­less ­time to ­anchor ­the ­ring ­than ­the orig­i­nal meth­od ­with inter­rupt­ed ­sutures ­and ­can pre­vent nar­row­ing ­the ­mitral ­valve annu­lus fol­low­ing ­the defor­mity of ­the flex­ible ­ring. This tech­nique ­can con­trib­ute to ­extend ­the indi­ca­tion of ­the pros­thet­ic ­ring in ­mitral ­valve sur­gery.

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