Anterior Leaflet Procedure: Repair is more difficult and less successful. Previously, a triangular excision of the anterior leaflet used to be done for prolapse and rupture of chordae. The lengthened chordae can be shortened and ruptured ones replaced with Goretex chordae. The other technique done is transfer of chordae from the posterior leaflet. This involves excision of small segment of anterior prolapsing leaflet and transferring a segment of the same size from posterior leaflet with its primary chordae intact. In the technique of chordal shortening, the papillary muscle is split and desired length of the lengthened chordae is embedded inside using prolene sutures. Ruptured chordae teildinae may be replaced with 5'0' Goretex (poly telra floura ethylene-PTFE) sutures.