Combined surgery for mitral regurgitation associated with extensive annular calcification and left main coronary artery disease.
Although extensive calcification of the mitral annulus is encountered infrequently, it presents a formidable problem in mitral valve surgery. We describe a case of severely calcified mitral annulus associated with grade IV mitral regurgitation in addition to left main coronary artery disease. The patient was a 66-year-old woman who successfully underwent thorough excision of the calcified bar, annular reconstruction with a autologous pericardial strip, mitral valve replacement with a mechanical prosthesis, and double coronary artery bypass grafting using arterial grafts.
Okamoto
H
H
Division of Thoracic & Cardiovascular Surgery, Yokkaichi Municipal Hospital, Japan.
Morita
S
S
Fujimoto
K
K
Niimi
T
T
D000368:Aged; D002114:Calcinosis; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000473:pathology*; D008944:Mitral Valve Insufficiency / Q000601:surgery*