[HSF] Redo Radical Mitral Valvuloplasty

[prasannasimha]

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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