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Background It is a known fact that the surgery of the anterior leaflet presents more difficulties and more dubious results than in the posterior leaflet. The use of artificial chordae is not always effective and measure its length is a challenge for the surgeon. So we present our long-term results with our new original technique for shortening the elongated chordae we call, “twisting loop technique” (TLT).

Twisting loop technique for anterior mitral cords shortening and evolution