I have tried this technique several times. I was skeptical at first but I was made a believer by Dr. Torsten Doesnt. He told me that all anterior loops should be 24 mm and all posterior loops should be 12 mm, regardless of the case. I am still a true believer of reconstructing the posterior leaflet with the classical resectional techniques. I just don’t like to leave so much excess leaflet in the ventricle. I feel like I am leaving too much diseased tissue behind. I have tried different techniques for the anterior leaflet and this last one has made things even easier.
I was using the one loop with multiple small loops originating from it, but this has made it even easier. With the 3 loop technique, I sequentially attached the loops further onto the anterior leaflet with a 5-0 gortex suture as one moves laterally. You can only chose to use only one or two loops and leave the 3rd one behind.
I know it sounds crazy but leaving the loops at 24-25 mm on all cases really works !!!
Watch this You tube video that explains how to do it.
Please give me your thoughts.