title: Nonanatomical mitral valve replacement in the pulmonary venous confluence for heavily calcified aortic or mitral annulus.
abstract: Mitral valve replacement surgery after previous aortic valve surgery can be extremely challenging. The presence of heavy calcification and scarring in the aortic and/or mitral annulus can make suture placement nearly impossible. Although novel techniques have been described, even these alternatives might not be feasible. We present a case of nonanatomical mitral valve replacement in the pulmonary venous confluence as a salvage operation. This can provide adequate hemodynamics and survival until a subsequent care plan can be established.
authors.affiliation: Department of Cardiothoracic Surgery, Emory University, Atlanta, Georgia 30306, USA. Bkogon@emory.edu
authors.forename: Brian E
authors.initials: BE
authors.lastname: Kogon
authors.forename: Maan
authors.initials: M
authors.lastname: Jokhadar
authors.forename: Anurag
authors.initials: A
authors.lastname: Sahu
authors.forename: Micheal
authors.initials: M
authors.lastname: McConnell
authors.forename: Wendy
authors.initials: W
authors.lastname: Book
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D002114:Calcinosis / Q000601:surgery*; D004452:Echocardiography; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation; D011474:Prosthesis Design; D011667:Pulmonary Veins / Q000601:surgery*; D016879:Salvage Therapy; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome