A modified approach: chordal transfer together with shortening

Area of Science:

• Cardiovascular Surgery
• Cardiac Valve Repair
• Mitral Valve Disease

Background:

• Elongated chordae tendineae are a common cause of anterior mitral leaflet prolapse.
• Traditional repair methods can be complex and may not always achieve optimal chordal length.

Purpose of the Study:

• To introduce a simplified surgical technique for repairing anterior mitral leaflets with elongated chordae.
• To facilitate accurate chordal shortening and provide stable support for the repaired leaflet.

Main Methods:

• The described method involves chordal shortening and transfer techniques applied to the same mitral valve segment.
• This approach allows for easy determination of optimal chordal length.
• Transferred chordae provide robust support to the shortened structures.

Main Results:

• The technique simplifies the process of achieving the correct chordal length.
• It ensures adequate support for the anterior mitral leaflet after repair.
• This method offers a reproducible approach to mitral valve repair.

Conclusions:

• This simple chordal shortening and transfer technique is effective for repairing anterior mitral leaflets with elongated chordae.
• The method facilitates accurate chordal length adjustment and provides reliable support.
• It represents a valuable addition to the surgical armamentarium for mitral valve reconstruction.