Abstract: An annuloplasty system is disclosed that respects the uniqueness of each anterior mitral or tricuspid valve leaflet as the appropriate template for an annuloplasty ring. Each dilated tissue annulus is brought to a precise anterior mitral or tricuspid leaflet perimeter dimension, rather than to the dimension of a specific-sized annuloplasty ring. Thus, precise measured plication of the dilated mitral or tricuspid annulus is possible in every case, resulting in mitral or tricuspid repair with greater predictability and reproduceability. Substantially rigid suture support segments to be placed at least partially circumferentially about an anatomical structure, such as a heart valve, are delivered to the heart valve by a plurality of linked-together segment holders. The segment holders also function as sizing elements for precisely and easily measuring the perimeter of an anterior mitral or tricuspid leaflet, for example.

Abstract: An apparatus and method for reducing the circumference of a vascular structure comprising the steps of providing a plurality of sutures and a plurality of discrete suture support segments of a biocompatible, inert material, each suture support segment having at least two suture holes spaced a predetermined distance (D) apart; individually suturing each discrete suture support segment to the vascular structure with one of the plurality of sutures by effecting a horizontal mattress (U-shaped) suture along the vascular structure through a length of tissue of the vascular structure such that the length (D') of tissue sutured is greater than distance (D); and tightening and tying off the suture, whereby each sutured suture support segment creates an imbrication in the vascular structure, thereby reducing the circumference thereof.

Abstract: An apparatus and method for reducing the circumference of a vascular structure comprising the steps of providing a plurality of sutures and a plurality of discrete suture support segments of a biocompatible, inert material, each suture support segment having at least two suture holes spaced a predetermined distance (D) apart; individually suturing each discrete suture support segment to the vascular structure with one of the plurality of sutures by effecting a horizontal mattress (U-shaped) suture along the vascular structure through a length of tissue of the vascular structure such that the length (D') of tissue sutured is greater than distance (D); and tightening and tying off the suture, whereby each sutured suture support segment creates an imbrication in the vascular structure, thereby reducing the circumference thereof.