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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.<\/jats:p>","DOI":"10.1055\/a-2015-1627","type":"journal-article","created":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T23:54:27Z","timestamp":1674086067000},"page":"195-196","source":"Crossref","is-referenced-by-count":0,"title":["Prevention of Mitral Ring Dehiscence by a Simple Modification of Suture Placement"],"prefix":"10.1055","volume":"71","author":[{"given":"Majd","family":"Makarious Laham","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Huttrop, Universit\u00e4tsmedizin Essen, Essen, Nordrhein-Westfalen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerry","family":"Easo","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Huttrop, Universit\u00e4tsmedizin Essen, Essen, Nordrhein-Westfalen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehdy","family":"Roosta-Azad","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Huttrop, Universit\u00e4tsmedizin Essen, Essen, Nordrhein-Westfalen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Kamler","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Huttrop, Universit\u00e4tsmedizin Essen, Essen, Nordrhein-Westfalen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"131.e3","DOI":"10.1016\/j.jtcvs.2017.06.036","article-title":"Mitral annuloplasty ring suture forces: impact of surgeon, ring, and use conditions","volume":"155","author":"E L Pierce","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1093\/ejcts\/ezab178","article-title":"Mitral and tricuspid annuloplasty ring dehiscence: a systematic review with pooled analysis","volume":"60","author":"A Arjomandi Rad","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1093\/ejcts\/ezab345","article-title":"Mitral and tricuspid annuloplasty ring dehiscence, a story yet to be told","volume":"60","author":"M Marin-Cuartas","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"issue":"02","key":"ref4","first-page":"300","article-title":"Annuloplasty ring dehiscence after mitral valve repair: incidence, localization and reoperation","volume":"57","author":"T Noack","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1016\/j.athoracsur.2016.01.107","article-title":"How local annular force and collagen density govern mitral annuloplasty ring dehiscence risk","volume":"102","author":"E L Pierce","year":"2016","journal-title":"Ann Thorac Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1097\/imi.0000000000000060","article-title":"Use of pledgeted sutures in mitral annuloplasty","volume":"9","author":"M Hassan","year":"2014","journal-title":"Innovations (Phila)"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1016\/j.jtcvs.2016.07.047","article-title":"Mitral annuloplasty ring dehiscence: optimal force distribution with flexible rings","volume":"152","author":"J R Spratt","year":"2016","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2015-1627.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T23:31:01Z","timestamp":1680737461000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2015-1627"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,18]]},"references-count":7,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,4,5]]},"published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2015-1627","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,1,18]]},"published":{"date-parts":[[2023,1,18]]}}}