title: Intra-atrial implantation of a mitral valve prosthesis in a heavily calcified mitral annulus.
abstract: Extensive annular calcification of the mitral valve can make anatomic implantation of a prosthesis extremely difficult and challenging. We herein describe a surgical technique of mitral valve replacement in a 78-year-old man with multiple medical co-morbidities suffering from severe mitral regurgitation with extensive circumferential calcification of the mitral annulus. The pertinent literature is reviewed and the technical steps and clinical presentation are discussed.
authors.affiliation: Division of Cardiac Surgery, McGill University Health Center, Montreal, QC, Canada.
authors.forename: Rony
authors.initials: R
authors.lastname: Atoui
authors.forename: Vynka
authors.initials: V
authors.lastname: Lash
authors.forename: Siamak
authors.initials: S
authors.lastname: Mohammadi
authors.forename: Renzo
authors.initials: R
authors.lastname: Cecere
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000150:complications*; D006325:Heart Atria / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*