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Thieme Gruppe, Thoracic and Cardiovascular Surgeon, 2023

DOI: 10.1055/a-2015-1627



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Prevention of mitral ring dehiscence by a simple modification of suture placement

Journal article published in 2023 by Majd Makarious Laham, Jerry Easo, Mehdy Roosta-Azad, Markus Kamler
Distributing this paper is prohibited by the publisher
Distributing this paper is prohibited by the publisher

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Ring dehiscence is a serious complication after mitral valve annuloplasty, tending to occur primarily from the posterior annulus. The tension on the ring sutures during the cardiac cycle is one of the suspected reasons; in order to minimize this tension, we apply four additional pledgeted sutures positioned supra-annularly at critical hinge points and could achieve a marked reduction of annular dehiscence since.