Document Detail

Ultrasonic decalcification of calcified valve and annulus during heart valve replacement.
MedLine Citation:
PMID:  8792537     Owner:  NLM     Status:  MEDLINE    
A heavily calcified heart valve annulus increases the likelihood of sequelae after prosthetic valve replacement. Such sequelae include cerebral embolism, paravalvular leakage, valvular dysfunction, rhythm disturbance, hemolysis, communication of the heart chambers, and rupture of the posterior wall of the left ventricle. From January 1991 through June 1994, we performed heart valve replacement on 30 patients, using an ultrasonic surgical aspirator to remove calcific deposits. We placed aortic valve prostheses in 12 patients, mitral valve prostheses in 13 patients, and both aortic and mitral prostheses in 5 patients, after ultrasonic débridement of calcified annuli. All patients were re-examined 6 months after surgery: echocardiographic study showed no paravalvular leakage or valve-related complications. In our experience, ultrasonic decalcification of the annulus is superior to traditional methods. We advocate the use of ultrasonic débridement as an adjunctive tool in calcified heart valve replacement.
M Unal; I Sanisoğlu; C Konuralp; H Akay; G Orhan; H Aydoğan; S A Aka; E E Eren
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  23     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  1996  
Date Detail:
Created Date:  1996-12-19     Completed Date:  1996-12-19     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  85-7     Citation Subset:  IM    
Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey.
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MeSH Terms
Aortic Valve / surgery*
Calcinosis / therapy*
Heart Valve Diseases / surgery*
Heart Valve Prosthesis / methods*
Middle Aged
Mitral Valve / surgery*
Ultrasonic Therapy / methods*

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