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Updated: May 23, 2026
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
[Mitral valve repair with artificial chordal creation]
Kazuma Okamoto1, Mikihiko Kudo, Ryohei Yozu
1Department of Cardiovascular Surgery, Keio University, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|April 10, 2012
Summary
Artificial chordae creation is key for successful mitral valve repair, preserving leaflet function. The novel loop-in-loop technique allows for precise neochordae length adjustment, enhancing surgical options for complex cases.
Area of Science:
- Cardiovascular Surgery
- Biomaterials in Medicine
- Surgical Techniques
Context:
- Mitral valve repair aims for optimal long-term results.
- Artificial chordae preserve posterior leaflet motion and coaptation.
- Minimally invasive surgery necessitates efficient techniques.
Purpose:
- To introduce and evaluate the loop-in-loop technique for artificial chordae creation.
- To demonstrate the technique's utility in minimally invasive mitral valve repair.
- To highlight its adaptability for complex mitral valve pathologies.
Summary:
- The loop-in-loop technique utilizes slippery Gore-Tex suture for adjustable neochordae length.
- This method facilitates the creation of multiple artificial chordae.
- It offers enhanced flexibility for various mitral valve repair strategies.
Impact:
- Improved surgical options for mitral valve repair.
- Potential for better patient outcomes through preserved leaflet function.
- Advancement in managing complex mitral valve diseases via minimally invasive approaches.
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