Related Experiment Video
Updated: Aug 15, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Modified technique of chordal replacement for mitral valve repair
1Herz- und Gefäss-Klinik, Bad Neustadt, Germany. p.urbanski@herzchirurgie.de
Abstract:
The appropriate length of the artificial chordae is crucial for the proper functioning of the mitral valve after chordal replacement. In the technique described here, the artificial chordae are assembled during surgery and their lengths fixed according to the individual anatomy; they are then first attached to the margin of the prolapsed leaflet and subsequently to the papillary muscle. This ensures that the ultimate length of the artificial chordae is determined during fixation at the papillary muscle and not during knotting at leaflet level.
Related Concept Videos
Mitral Stenosis III: Medical Management
Mitral Valve Prolapse I: Introduction
Mitral Regurgitation III: Medical Management
Mitral Stenosis I: Introduction
Mitral Regurgitation I: Introduction
Mitral Valve Prolapse II: Assessment and Management

