- Complete debridement of the infective and destructive valve tissue was
performed first.
- The fresh autologous pericardium was harvested and trimmed to an
appropriate size corresponding to the defect of the mitral valve. The
patch was attached to the annulus of the leaflet tissues.
- Artificial chordae sutures were placed to the edge of the
reconstructed pericardium.
- Finally, mitral annuloplasty with an artificial annular ring was
performed.