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Fig. 2 | Journal of Cardiothoracic Surgery

Fig. 2

From: Mitral valve repair with the use of the “Memo 3D ReChord” ring

Fig. 2

2a: Implantation of the artificial neo-chordae CV4 at the top of the corresponding papillary muscle

2b,c: The ring is sutured on the annulus. The two needles of the double armed neo-chordae were passed through the posterior leaflet of the mitral valve and then through the yellow loops of the guiding system of the ring

2d: The neo-chordae sutures are tied and the needles are cut just above the nodes

2e,f: The temporary chordal guiding system (blue suture and yellow loops) is removed. The blue suture is pulled out first. Then, is pulled out the yellow loop)

2 g: The posterior leaflet is free in order to obtain its final normal position

2 h: The final result at the end of the repair with the “smile” of the competent mitral valve

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