Document Detail


Mitral valve replacement with posterior transposition of the anterior mitral leaflet which covers and buttresses partially decalcified posterior mitral annular bed.
MedLine Citation:
PMID:  22219486     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mitral valve replacement (MVR) in the presence of the extensive calcification of the mitral annulus is a technical challenge. The heavily calcified annulus can cause great difficulty in the insertion of a prosthetic valve and periprosthetic leakage later on. Vigorous annular decalcification may cause circumflex coronary artery injury, atrioventricular rupture and thromboembolic events. We herein describe a surgical technique for MVR in such cases while focusing on partial decalcification of the posterior mitral annulus and its reinforcement and buttressing with the transferred anterior mitral leaflet (AML). At the same time, the transferred AML supports the posterior annular region and maintains ventricular-annular continuity, thus preserving the left ventricular function.
Authors:
Dusko Nezic; Aleksandar Knezevic; Sasa Borovic; Miomir Jovic
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Publication Detail:
Type:  Journal Article     Date:  2012-01-04
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  41     ISSN:  1873-734X     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-18     Completed Date:  2012-07-17     Revised Date:  2014-02-24    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1129-31     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Calcinosis / surgery*
Decalcification Technique / methods
Heart Valve Diseases / surgery*
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / methods*
Humans
Mitral Valve / surgery*
Suture Techniques
Comments/Corrections
Comment In:
Eur J Cardiothorac Surg. 2014 Feb;45(2):398-9   [PMID:  23803513 ]
Eur J Cardiothorac Surg. 2013 Feb;43(2):450-1   [PMID:  23319490 ]
Eur J Cardiothorac Surg. 2013 Feb;43(2):449-50   [PMID:  22826470 ]
Eur J Cardiothorac Surg. 2014 Feb;45(2):398   [PMID:  23803514 ]

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


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