Mitral Valve Repair in Children
Mitral Valve Repair in Children
Mitral Valve Repair in Children
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Heart <strong>Valve</strong> Surgery – The Biological Concept<br />
Pr<strong>in</strong>ciples of <strong>Mitral</strong> <strong>Valve</strong> <strong>Repair</strong><br />
►Primary repair should be reached by sutures only. The<br />
pericardial strip should not lead to further anulus<br />
shorten<strong>in</strong>g, however, should stabilize the suturedependent<br />
repair and <strong>in</strong>crease the height of the posterior<br />
leaflet coaptation counterpart. This is particularily<br />
important <strong>in</strong> ischemic mitral <strong>in</strong>competence<br />
►Secure anchorage of runn<strong>in</strong>g sutures, pericardial<br />
pledgets and pericardial strip by additional sutures<br />
DHZB-cw/ 2009
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