[HSF] Posterior neochordae

[Nasser F. Abou'Seada]

Dear Jim 
Would you elaborate more on your exact techniques?
 
> At operation much of the head of the right inferior pap muscle was sheared
> off thus A3 flail, as well as pm commissure.

> Used two pledgeted goretex sutures to reimplant
> head of pap muscle. I transposed it a few mm to get optimal
> tissue to anchor it in.  

> Then used about four neochords; two as "seatbelt"
> for anterior leaflet, and two to support commissure/lateral most aspect of
> p3.  Then placed a complete ring. 

NFA