RECENT ADVANCES IN HIP AND KNEE ARTHROPLASTY
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A Carpentier annuloplasty ring was sutured. With the ring in position, the chordae were retrieved from the ventricle, and both needles were woven into the prolapsing segment, straddling the point of maximal prolapse. Two or three bites were taken through the coaptation surface to the line of coaptation. The two arms of the suture were tied on the atrial surface with a slip-knot to bring the leaflet to the annular plane, and a clip was placed across the knot. Pericardial pledgets could be used if the leaflet tissue seems fragile. Cold saline solution was infused to check the length of...
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