Abstract
Taut-line hitch, a type of ropework used in outdoor activities, was adopted to tie the artificial chordae during mitral valve repair for degenerative mitral insufficiency. This knot-tying technique facilitated artificial chordae length determination during surgery. Nineteen patients with degenerative mitral insufficiency were successfully treated using this technique.
Similar content being viewed by others
References
Perier P, Hohenberger W, Lakew F, Diegeler A. Prolapse of the posterior leaflet: resect or respect. Ann Cardiothorac Surg. 2015;4:273–7.
Yano M, Sakaguchi S, Furukawa K, Nakamura E. A new method for the adjustment of neochordal length: the adjustable slip-knot technique. Interact Cardiovasc Thorac Surg. 2015;21:240–2.
Rankin JS, Alfery DD, Orozco R, Binford RS, Burrichter CA, Brunsting LA III. Techniques of artificial chordal replacement for mitral valve repair: use in multiple pathologic disorders. Oper Tech Thorac Cardiovasc Surg. 2008;13(2):74–82.
Bizzarri F, Tudisco A, Ricci M, Rose D, Frati G. Different ways to repair the mitral valve with artificial chordae: a systematic review. J Cardiothorac Surg. 2010;5:22. https://doi.org/10.1186/1749-8090-5-22.
Di Bacco L, Miceli A, Glauber M. Mitral valve repair techniques with neochords: when sizing matters. Innovations (Phila). 2020;15(1):22–5. https://doi.org/10.1177/1556984520901487.
Pitsis A, Tsotsolis N, Theofilogiannakos E, Boudoulas H, Boudoulas KD. Preoperative determination of artificial chordae tendineae length by transesophageal echocardiography in totally endoscopic mitral valve repair. Interac Cardiovasc Thorac Surg. 2020;1(31):20–7.
von Opell UO, Mohr FW. Chordal replacement for both minimally invasive and conventional mitral valve surgery using premeasured Gore-Tex loops. Ann Thorac Surg. 2000;70(6):2166–8.
Noack T, Borger MA. Preoperative determination of artificial chordae length: Wishful thinking ? J Thorac Cardiovasc Surg. 2017;154(5):1632–3.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None declared.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Supplementary file2 Video 1 The taut-line hitch is originally used in outdoor ropeworks. (MP4 21884 kb)
Supplementary file3 Video 2 An example of the TLH knot for a 52-year-old female patient with severe mitral regurgitation. (MP4 142102 kb)
Rights and permissions
About this article
Cite this article
Yano, M., Nishimura, M., Yokota, A. et al. Effectiveness of the taut-line hitch knot in accurately determining the length of artificial chordae during repair for degenerative mitral insufficiency. Gen Thorac Cardiovasc Surg 69, 1567–1569 (2021). https://doi.org/10.1007/s11748-021-01664-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-021-01664-8