title: Prosthesis replacement in a calcified mitral annulus with reconstruction of the intervalvular fibrous body: the value of an alternative repair.
abstract: A patient with healed prosthetic endocarditis, severe calcification of the mitral annulus, and multiple mitral periprosthetic leaks underwent double-valve replacement, with reconstruction of the intervalvular fibrous body. Placing sutures through healthy autologous tissues from outside the heart enabled secure replacement of the mitral prosthesis. This technique avoids extensive circumferential reconstruction of the mitral annulus.
authors.affiliation: Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, WA 6009, Australia. igorkonst@hotmail.com
authors.forename: Igor E
authors.initials: IE
authors.lastname: Konstantinov
authors.forename: Martin
authors.initials: M
authors.lastname: Carter
authors.forename: Pankaj
authors.initials: P
authors.lastname: Saxena
authors.forename: Miriam D
authors.initials: MD
authors.lastname: Koniuszko
authors.forename: Tushar
authors.initials: T
authors.lastname: Singh
authors.forename: John
authors.initials: J
authors.lastname: Alvarez
authors.forename: Mark A J
authors.initials: MA
authors.lastname: Newman
mesh_terms: D002114:Calcinosis / Q000473:pathology; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D034062:Insomnia, Fatal Familial; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000473:pathology; D010411:Penile Induration; D013536:Suture Techniques