A Simple, Effective, and Inexpensive Technique for Exposure of Papillary Muscles in Minimally Invasive Mitral Valve Repair: Wakka Technique

被引:7
|
作者
Tabata, Minoru [1 ]
Hiraiwa, Nobuhiko [1 ]
Kawano, Yuji [1 ]
Nakatsuka, Daisuke [1 ]
Hoshino, Satoshi [1 ]
机构
[1] Tokyo Bay Urayasu Ichikawa Med Ctr, Dept Cardiovasc Surg, Urayasu, Chiba 2790001, Japan
来源
ANNALS OF THORACIC SURGERY | 2015年 / 100卷 / 03期
关键词
D O I
10.1016/j.athoracsur.2015.05.044
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Obtaining excellent exposure of the papillary muscles is challenging in minimally invasive mitral valve repair. We have developed a simple and effective technique using a sterile paper ruler. The ruler is cut to the proper length (8 to 12 cm) depending on the valve size, then rolled and sutured. The rolled ruler, 7 to 11 cm in circumference, is placed inside the mitral leaflets. This technique provides excellent exposure of the papillary muscles without damaging the leaflets and prevents chordal injury during artificial chordal implantation. (C) 2015 by The Society of Thoracic Surgeons
引用
收藏
页码:E59 / E61
页数:3
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