Selective, segmental decalcification: a safe alternative to extensive debridement of a severely calcified annulus during repair of mitral regurgitation.

Carrel, Thierry; Weber, Alberto (2016). Selective, segmental decalcification: a safe alternative to extensive debridement of a severely calcified annulus during repair of mitral regurgitation. Interactive cardiovascular and thoracic surgery, 23(4), ivw191. Oxford University Press 10.1093/icvts/ivw191

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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.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Carrel, Thierry and Weber, Alberto

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1569-9293

Publisher:

Oxford University Press

Language:

English

Submitter:

Daniela Huber

Date Deposited:

18 Aug 2016 08:48

Last Modified:

22 Sep 2017 14:49

Publisher DOI:

10.1093/icvts/ivw191

PubMed ID:

27354466

Uncontrolled Keywords:

Calcified annulus; Mitral valve repair

BORIS DOI:

10.7892/boris.86074

URI:

https://boris.unibe.ch/id/eprint/86074

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