[HSF] Redo Radical Mitral Valvuloplasty

[Hgrmd at aol.com]

Prasanna,
  I don't know how many sutures I used to close the cleft at the  original 
operation, but I suspect I used a double row of 3-4 sutures of 5-0  Cardionyl.  
I've since changed my technique and use simple interrupted,  avoiding the last 
1-2 mm of the leaflet edge in order to allow the very edge to  billow up and 
seal the furrow.  This was a great point made at Dave Adam's  last valve 
repair course at Mt. Sinai.
  The postero-medial commissuroplasty was indeed a Carpentier's "magic  
stitch".
Hal



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