Commissural autologous pericardial patch repair: a novel technique for active mitral valve endocarditis involving the mitral annulus.
In patients with massive destruction caused by mitral endocarditis, surgical valve repair remains a challenging issue. Although several procedures have previously been introduced, no standard method for complicated lesions has been established. We describe a technique of mitral valve repair for extensive destructive endocarditis involving both leaflets and the mitral annulus that has provided satisfactory initial results in 2 patients. This procedure is believed to be technically simple and beneficial in terms of mitral repair for active endocarditis.
Ushijima
Teruaki
T
Division of Cardiac Surgery, Tokyo Medical University, Tokyo, Japan. ushijima@tokyo-med.ac.jp
Kikuchi
Yujiro
Y
Takata
Munehisa
M
Yamamoto
Yoshitaka
Y
Kawachi
Kenji
K
Watanabe
Go
G
D002815:Chordae Tendineae / Q000601:surgery; D003646:Debridement; D004564:Electrocoagulation; D004697:Endocarditis, Bacterial / Q000601:surgery*; D004699:Endocardium / Q000601:surgery; D006325:Heart Atria / Q000601:surgery; D006346:Heart Septum / Q000601:surgery; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation*; D013536:Suture Techniques