title: Crossed papillopexy with graft in mitral valve replacement: case report.
abstract: The aim of this study is to present the crossed papillopexy technique using bovine pericardial graft in mitral replacement caused by intense valvar and subvalvar fibrosis and calcification. This technique allows the functional preservation of the mitral subvalvar apparatus and was successfully applied, by the first time as far as we known, in a patient with calcified rheumatic mitral stenosis, who underwent mitral valve replacement surgery. The patient had an uneventful recovery and was discharged home on postoperative day 6. Echocardiography controls showed normal left ventricular function without any interference on the mitral prosthesis dynamics.
authors.affiliation: Fundação Cardiovascular São Francisco de Assis, ServCor, Belo Horizonte, MG. melchiorlima@superig.com.br
authors.forename: Melchior Luiz
authors.initials: ML
authors.lastname: Lima
authors.forename: Fábio José dos
authors.initials: FJ
authors.lastname: Reis
authors.forename: Fabrício Otávio Gaburro
authors.initials: FO
authors.lastname: Teixeira
authors.forename: Otoni Moreira
authors.initials: OM
authors.lastname: Gomes
mesh_terms: D000818:Animals; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging*; D002417:Cattle; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D010210:Papillary Muscles / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation; D012214:Rheumatic Heart Disease / Q000000981:diagnostic imaging*; D014463:Ultrasonography; D016277:Ventricular Function, Left / Q000502:physiology