Paradoxical Artificial Chords:
New Technique to Prevent Systolic Anterior
Motion Post Mitral Valve Reconstructions
Samer Kassem1*, Majed Othman2 and Gianluca Polvani1
1 Department of cardiovascular surgery, Unit-II, Centro Cardiologico Monzino I.R.C.C.S, University of Milan, Milan, Italy
2 Department of cardiac surgery, Al Bassel Heart Institute, Damascus, Syria
Abstract
We describe In this report, a new and simple technique to prevent SAM after mitral valve repairs, hence two artificial chords are implanted in the edge of anterior leaflet at five and seven o’clock positions, subsequently these are paradoxically anchored to the posterior annulus avoiding the mitral-septal contact or reducing this contact at the level of the tip of anterior leaflet particularly with notable bulging of the ventricular septum into the out- flow tract.
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