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Selective, segmental decalcification: a safe alternative to extensive debridement of a severely calcified annulus during repair of mitral regurgitation
- Source :
- Interactive CardioVascular and Thoracic Surgery. 23:665-667
- Publication Year :
- 2016
- Publisher :
- Oxford University Press (OUP), 2016.
-
Abstract
- Resection of the calcium bar and creation of a more compressible annulus with pericardium are necessary in case of extensive calcification of the mitral valve annulus in patients with advanced myxomatous degenerative disease. Such annular bar calcification is technically challenging and represents a risk factor for death following mitral valve operations, because of atrio-ventricular rupture or encroachment of the coronary arteries. We describe a safe limited segmental annular debridement away from the coronary arteries that allows enough flexibility of the remaining calcified annulus to perform reduction annuloplasty in a young female patient with severe mitral regurgitation and a highly dilated and severely calcified mitral annulus.
- Subjects :
- Adult
Pulmonary and Respiratory Medicine
medicine.medical_specialty
medicine.medical_treatment
610 Medicine & health
030204 cardiovascular system & hematology
142-005 142-005
2705 Cardiology and Cardiovascular Medicine
03 medical and health sciences
0302 clinical medicine
Mitral valve
medicine
Humans
Pericardium
Mitral Valve Annulus
cardiovascular diseases
Cardiac Surgical Procedures
Annulus (mycology)
Mitral regurgitation
Mitral valve repair
business.industry
Calcinosis
Mitral Valve Insufficiency
equipment and supplies
medicine.disease
2746 Surgery
Surgery
Coronary arteries
medicine.anatomical_structure
Debridement
030228 respiratory system
2740 Pulmonary and Respiratory Medicine
cardiovascular system
Mitral Valve
Female
Cardiology and Cardiovascular Medicine
business
Echocardiography, Transesophageal
Calcification
Subjects
Details
- ISSN :
- 15699285 and 15699293
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Interactive CardioVascular and Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....b662a22e8f4d07c595f79943c407d59e