Mitral valve repair using a prosthetic ring with chordal sizing system: A modified technique in the presence of myxomatous leaflets

Abstract

A semi-rigid complete ring including a chordal sizing system has been introduced with the aim of standardizing neochordae implantation. Instructions for use of this ring suggest to pass the neochordae through the free margin of mitral leaflets. We introduce a modification of this technique in the presence of myxomatous leaflets.