Miami Minimally Invasive Valves
Joseph Lamelas, MD
Dedicated to the Advancement of Minimally Invasive Cardiac Surgery
September 9, 2014
Minimally Invasive Mitral Valve Repair with Gortex Loops

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.


2 thoughts on “Minimally Invasive Mitral Valve Repair with Gortex Loops”

  1. Frank Shannon says:

    Joe, I really liked this video and concept. My only variation would be making slightly longer anterior leaflet chords for deeper, bigger LVs and perhaps slightly longer posterior leaflet loops for the same ventricles. Otherwise the “24 and 12 mm” one size fits all might be good approach.

    1. That’s a great thought. Give this a try and let me know what you think. Thanks.

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