| Mitral valve replacement with posterior transposition of the anterior mitral leaflet which covers and buttresses partially decalcified posterior mitral annular bed. | |
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MedLine Citation:
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PMID: 22219486 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Dusko Nezic; Aleksandar Knezevic; Sasa Borovic; Miomir Jovic |
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Publication Detail:
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Type: Journal Article Date: 2012-01-04 |
Journal Detail:
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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:
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Created Date: 2012-04-18 Completed Date: 2012-07-17 Revised Date: 2013-02-22 |
Medline Journal Info:
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Nlm Unique ID: 8804069 Medline TA: Eur J Cardiothorac Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 1129-31 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia. nezic@eunet.rs |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Calcinosis
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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:
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Eur J Cardiothorac Surg. 2013 Feb;43(2):449-50
[PMID:
22826470
]
Eur J Cardiothorac Surg. 2013 Feb;43(2):450-1 [PMID: 23319490 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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