Fig. 1
From: Unsatisfying mitral valve repair? The “Loop method”: a lifebelt to grab
The “Loop method” technique for neochords length adjustment. a Placement of one or more Gore-Tex sutures in the papillary muscle and of an Ethibond stitch in the posterior part of the prosthethic ring. b The reference loop is created by tying the annular Ethibond suture leaning on a hook. c Both arms of the neochord are passed in the prolapsing area from the ventricular side to the atrial one, then in the loop from the atrium towards the ventricle and finally again into the edge of the prolapsing scallop from the ventricle to the atrium. d Knots are tied at the annular level. e The reference-loop is cut and the leaflet released