title: Ultrasonic debridement of mitral calcification.
abstract: Dense annular calcification to the valve attachment is particularly hazardous during mitral valve replacement because of the difficulty of placing sutures and the risk of atrioventricular rupture. We report 11 patients who underwent decalcification of the mitral anulus with the Cavitron Ultrasound Surgical Aspirator (CUSA) during mitral valve replacement. This resulted in a greatly simplified suture placement and prosthetic valve seating as well as enlargement of the annular orifice. Four other patients underwent CUSA debridement of the anterior leaflet of the mitral valve during concomitant aortic valve replacement and CUSA debridement of the aortic anulus. There were no operative deaths or major complications. Ultrasonic debridement is a useful adjunct in the surgical management of the heavily calcified mitral valve.
authors.affiliation: Division of Cardiothoracic Surgery, Harbor-UCLA Medical Center, Torrance, USA.
authors.forename: F J
authors.initials: FJ
authors.lastname: Baumgartner
authors.forename: A
authors.initials: A
authors.lastname: Pandya
authors.forename: B O
authors.initials: BO
authors.lastname: Omari
authors.forename: A
authors.initials: A
authors.lastname: Pandya
authors.forename: C
authors.initials: C
authors.lastname: Turner
authors.forename: J C
authors.initials: JC
authors.lastname: Milliken
authors.forename: J M
authors.initials: JM
authors.lastname: Robertson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery; D002114:Calcinosis / Q000601:surgery*; D003646:Debridement / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000295:instrumentation*