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Use of Pledgeted Sutures in Mitral Annuloplasty

Hassan, Mohammed MD*; Windsor, Jimmy MD; Salerno, Tomas MD; Ricci, Marco MD*

Innovations:Technology and Techniques in Cardiothoracic and Vascular Surgery: March/April 2014 - Volume 9 - Issue 2 - p 148–149
doi: 10.1097/IMI.0000000000000060
How-To-Do-It Article

Annuloplasty ring or band dehiscence is a possible complication of mitral valve repair surgery. It may be due to increased tension on the annuloplasty sutures, especially in ischemic mitral pathology in which a circumferential ring is used. Herein, we describe a technique for alternative suture placement in mitral annuloplasty using pledgeted sutures that may reduce the risk for ring or band dehiscence.

From the *Division of Cardiothoracic Surgery, and †Department of Anesthesiology, University of New Mexico Health Science Center, Albuquerque, NM USA; and ‡Department of Cardiothoracic Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL USA.

Accepted for publication January 11, 2014.

Disclosure: The authors declare no conflicts of interest.

Address correspondence and reprint requests to Mohammed Hassan, MD, Division of Cardiothoracic Surgery, Department of Surgery, University of New Mexico Health Science Center, 2-ACC MSC10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 USA. E-mail:

©2014 by the International Society for Minimally Invasive Cardiothoracic Surgery