Prosthesis replacement in a calcified mitral annulus with reconstruction of the intervalvular fibrous body: the value of an alternative repair.
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.
Konstantinov
Igor E
IE
Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, WA 6009, Australia. igorkonst@hotmail.com
Carter
Martin
M
Saxena
Pankaj
P
Koniuszko
Miriam D
MD
Singh
Tushar
T
Alvarez
John
J
Newman
Mark A J
MA
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