title: Mitral valve repair for disruptive acute endocarditis: extensive replacement of posterior leaflet with bovine pericardium.
abstract: Surgery for infective mitral valve endocarditis should include resection/debridement of all infected tissue, but this may leave behind insufficient-autologous mitral valve tissue for an adequate repair. Effective mitral valve repair using only bovine pericardium is feasible even in the presence of extensive endocarditis involving a large part of the free margin of the affected leaflet.
authors.affiliation: Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, United Kingdom. r.ascione@bristol.ac.uk
authors.forename: Nnamdi
authors.initials: N
authors.lastname: Nwaejike
authors.forename: Raimondo
authors.initials: R
authors.lastname: Ascione
mesh_terms: D000818:Animals; D001705:Bioprosthesis; D002417:Cattle; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000601:surgery*; D006349:Heart Valve Diseases / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D016343:Monitoring, Intraoperative; D010496:Pericardium / Q000637:transplantation*; D016896:Treatment Outcome