Fig. 3

After subvalvular manoeuvres, the coaptation of A2 and P2 was evaluated using a blue marker (top). A 5–0 expanded polytetrafluoroethylene horizontal mattress suture was placed, with the elongated portion of the anterior leaflet below the stitch (middle). The segment (solid line) with the attached chorda was resected (middle and bottom). Finally, the ePTFE stitch was tied, and the mitral valve remained competent