Thorac Cardiovasc Surg 2023; 71(03): 195-196
DOI: 10.1055/a-2015-1627
How to Do It

Prevention of Mitral Ring Dehiscence by a Simple Modification of Suture Placement

Majd Makarious Laham
1   Cardiac Surgery Huttrop, Universitätsmedizin Essen, Essen, Nordrhein-Westfalen, Germany
,
Jerry Easo
1   Cardiac Surgery Huttrop, Universitätsmedizin Essen, Essen, Nordrhein-Westfalen, Germany
,
Mehdy Roosta-Azad
1   Cardiac Surgery Huttrop, Universitätsmedizin Essen, Essen, Nordrhein-Westfalen, Germany
,
Markus Kamler
1   Cardiac Surgery Huttrop, Universitätsmedizin Essen, Essen, Nordrhein-Westfalen, Germany
› Author Affiliations
Funding None declared.

Abstract

Ring dehiscence is a serious complication after mitral valve annuloplasty, tending to occur primarily from the posterior annulus. The tension on the ring sutures during the cardiac cycle is one of the suspected reasons; to minimize this tension, we apply four additional pledgeted sutures positioned supra-annularly at critical hinge points and could achieve a marked reduction of annular dehiscence since.



Publication History

Received: 03 August 2022

Accepted: 11 January 2023

Accepted Manuscript online:
18 January 2023

Article published online:
27 February 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 Pierce EL, Bloodworth IV CH, Siefert AW. et al. Mitral annuloplasty ring suture forces: impact of surgeon, ring, and use conditions. J Thorac Cardiovasc Surg 2018; 155 (01) 131.e3-139.e3
  • 2 Arjomandi Rad A, Naruka V, Vardanyan R. et al. Mitral and tricuspid annuloplasty ring dehiscence: a systematic review with pooled analysis. Eur J Cardiothorac Surg 2021; 60 (04) 801-810
  • 3 Marin-Cuartas M, Noack T. Mitral and tricuspid annuloplasty ring dehiscence, a story yet to be told. Eur J Cardiothorac Surg 2021; 60 (04) 811-812
  • 4 Noack T, Kiefer P, Vivell N. et al. Annuloplasty ring dehiscence after mitral valve repair: incidence, localization and reoperation. Eur J Cardiothorac Surg 2020; 57 (02) 300-307
  • 5 Pierce EL, Siefert AW, Paul DM. et al. How local annular force and collagen density govern mitral annuloplasty ring dehiscence risk. Ann Thorac Surg 2016; 102 (02) 518-526
  • 6 Hassan M, Windsor J, Salerno T, Ricci M. Use of pledgeted sutures in mitral annuloplasty. Innovations (Phila) 2014; 9 (02) 148-149
  • 7 Spratt JR, Spratt JA, Lawrie GM. Mitral annuloplasty ring dehiscence: optimal force distribution with flexible rings. J Thorac Cardiovasc Surg 2016; 152 (06) 1639