[HSF] Redo Radical Mitral Valvuloplasty

[prasannasimha]

Correction "Point of bend"
Prasanna

prasannasimha wrote:
> I am also finding it safer to take multiple single simple sutures. 
> Probably the stress is higher initially till healing occurs so 
> multiple sutures seem to be better compared to a continuous row. Also 
> I do leave the last few mm free for another reason - it is needed to 
> allow coaptation at the "Buckled area" as this is a pint of bend 
> actually. Actually the inferior noncoaptation area can be free.
> Prasanna
>
> Hgrmd at aol.com wrote:
>> 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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>