title: "Patch-glue" annular reconstruction for mitral valve replacement in severely calcified mitral annulus.
abstract: Mitral valve replacement in severe annular calcification may be complicated by atrioventricular rupture, left circumflex coronary artery injury, and thromboembolic events. Mitral valve replacement was performed in 2 patients with massive annular calcification, by suturing a Tissucol fibrin glue-treated Teflon patch on the posterolateral atrial wall. After 30 and 34 months, respectively, the valve was normally functioning and the patients were asymptomatic and free from hemorrhagic and thromboembolic events.
authors.affiliation: Institute of Cardiac Surgery, La Sapienza University of Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Ruvolo
authors.forename: G
authors.initials: G
authors.lastname: Speziale
authors.forename: P
authors.initials: P
authors.lastname: Voci
authors.forename: B
authors.initials: B
authors.lastname: Marino
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006349:Heart Valve Diseases / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D019736:Prostheses and Implants; D013536:Suture Techniques; D014014:Tissue Adhesives / Q000627:therapeutic use*
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives