Thorac Cardiovasc Surg 2005; 53(5): 315-317
DOI: 10.1055/s-2005-865685
How to do it

© Georg Thieme Verlag KG Stuttgart · New York

Modified Technique of Chordal Replacement for Mitral Valve Repair

P. P. Urbanski1
  • 1Herz- und Gefäß-Klinik, Bad Neustadt, Germany
Further Information

Publication History

Received July 25, 2004

Publication Date:
06 October 2005 (online)


The appropriate length of the artificial chordae is crucial for the proper functioning of the mitral valve after chordal replacement. In the technique described here, the artificial chordae are assembled during surgery and their lengths fixed according to the individual anatomy; they are then first attached to the margin of the prolapsed leaflet and subsequently to the papillary muscle. This ensures that the ultimate length of the artificial chordae is determined during fixation at the papillary muscle and not during knotting at leaflet level.


Dr. Paul P. Urbanski

Herz- und Gefäß-Klinik

Salzburger Leite 1

97616 Bad Neustadt


Phone: + 499771662416

Fax: + 49 97 71 65 12 19

Email: [email protected]