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    
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.
Dusko Nezic; Aleksandar Knezevic; Sasa Borovic; Miomir Jovic
Related Documents :
21114226 - Pediatric cardiopulmonary bypass adaptations for long-term survival of baboons undergoi...
21455856 - Thromboembolism in inflammatory bowel disease: an insidious association requiring a hig...
2923756 - Clinical sustained uniform ventricular tachycardia in hypertrophic cardiomyopathy: asso...
21368686 - Evaluation of the nfocus luna™, a new parent vessel occlusion device: a comparative s...
18288476 - Endovascular treatment of anterior cranial fossa dural arteriovenous fistula.
314376 - Pathogenesis of bleeding colonic diverticulosis: new concepts.
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    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Calcinosis / surgery*
Decalcification Technique / methods
Heart Valve Diseases / surgery*
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / methods*
Mitral Valve / surgery*
Suture Techniques
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

Previous Document:  Which factors are associated with actual 5-year survival of oesophageal squamous cell carcinoma?
Next Document:  Early and late failure of tissue-engineered pulmonary valve conduits used for right ventricular outf...