Mitral valve replacement in a severely calcified posterior annulus: a novel technique.
We describe a technique for insertion of a mitral valve prosthesis in the presence of severe posterior annular calcification by plicating the left atrial tissue over the sewing ring. Extensive calcification often creates the technical difficulty of seating the prosthetic valve resulting in peri prosthetic leakage. Extensive decalcification may weaken the annulus and result in prosthetic valve dehiscence and atrioventricular dissociation.
Department of Cardiothoracic Surgery, Ward F3, John Hunter Hospital, New South Wales, Locked Bag 1, Hunter Region Mail Centre, NSW 2310, Australia. wailomer@hotmail.com
Wail O
WO
El-Amin
Duncan S
DS
Thomson
D000368:Aged; D016279:Atrial Function, Left; D002113:Calcification, Physiologic; D006328:Cardiac Catheterization; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D011859:Radiography; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene