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.

www.youtube.com/watch?v=ihg0w_HnKuU