Document Detail

Mitral valve replacement for extensive calcification: half and half technique.
MedLine Citation:
PMID:  18854933     Owner:  NLM     Status:  MEDLINE    
A 50-year-old woman who had been undergoing hemodialysis for 18 years underwent mitral valve replacement because of mitral valve stenosis. Her mitral valve leaflet and annulus were highly calcified, and it was impossible to remove the posterior leaflet from the ventricular wall. At the time of surgery, noneverted horizontal mattress sutures were placed from the left ventricle to the left atrium on the anterior half of the mitral annulus and everted horizontal mattress sutures on the left atrial wall close to the calcified posterior annulus. A 25-mm St. Jude valve was seated successfully at a supra-annular position. The St. Jude valve is suitable for this technique because its leaflets protrude less into the left ventricle.
Yasuyuki Bito; Toshihiko Shibata; Takashi Yasuoka; Kazushige Inoue; Takeshi Ikuta
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-10-15
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  56     ISSN:  1863-6705     ISO Abbreviation:  -     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-15     Completed Date:  2008-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  526-8     Citation Subset:  IM    
Department of Cardiovascular Surgery, Kansai Rousai Hospital, 3-1-69 Inabaso, Amagasaki, Hyogo, 660-8511, Japan.
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MeSH Terms
Calcinosis / surgery*,  ultrasonography
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation* / instrumentation,  methods
Middle Aged
Mitral Valve Stenosis / surgery*,  ultrasonography
Prosthesis Design
Suture Techniques*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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