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Updated: Jan 20, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
Chordal replacement with temporary Alfieri stitch for anterior leaflet prolapse
Hironobu Morimoto1, Koji Tsuchiya, Masato Nakajima
1Department of Cardiovascular Surgery, Yamanashi Central Hospital Yamanashi, Japan. hironobu12jp@yahoo.co.jp
Abstract:
In mitral valve regurgitation due to anterior leaflet prolapse and other complicated lesions, chordal replacement with expanded polytetrafluoroethylene is widely practiced. The most troublesome aspects of this procedure are the determination of the necessary length of the artificial chorda and the tying of the knot. We describe a simple technique for artificial chordal replacement using an Alfieri stitch, that has been successfully applied to 10 patients with anterior leaflet prolapse.
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