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Updated: Aug 7, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Application and adjustment of artificial chordae to the mitral valve using an approach through the aortic valve
René Prêtre1, Gregory Khatchatourov, Alexander Kadner
1Department of Surgery, Clinic for Cardiovascular Surgery, University Hospital Zürich, Switzerland. rene.pretre@usz.ch
Abstract:
Insertion of artificial chordae or shortening of native ones on the mitral valve with precise determination of their length can be done through the aortic annulus. This route was used to correct a prolapse of the anterior leaflet in 7 patients and resulted in stable repair with no residual insufficiency (4 patients) or trivial residual insufficiency (3 patients).
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