TECHNICAL NOTES  CARDIAC PAPERS 

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

Copyright © 2009 EDIZIONI MINERVA MEDICA

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.