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Fig. 1 | Journal of Cardiothoracic Surgery

Fig. 1

From: Long-term outcome of extensive mitral valve reconstruction with autologous pericardium and artificial chordae for treatment of destructive active infective endocarditis of the mitral valve

Fig. 1

Surgical technique of mitral valve reconstruction with fresh autologous pericardium and artificial chordae. a Complete debridement of the infective and destructive valve tissue was performed first. b The fresh autologous pericardium was harvested and trimmed to an appropriate size corresponding to the defect of the mitral valve. The patch was attached to the annulus of the leaflet tissues. c Artificial chordae sutures were placed to the edge of the reconstructed pericardium. d Finally, mitral annuloplasty with an artificial annular ring was performed

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