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

Carrel, Thierry P. ; Weber, Alberto

In: Interactive CardioVascular and Thoracic Surgery, 2016, vol. 23, no. 4, p. 665-667

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    Title
    • Selective, segmental decalcification: a safe alternative to extensive debridement of a severely calcified annulus during repair of mitral regurgitation
    Author
    • Carrel, Thierry P.. Department of Cardiovascular Surgery, Inselspital, University Hospital and University of Bern, Bern, Switzerland
    • Weber, Alberto. Department of Cardiovascular Surgery, Inselspital, University Hospital and University of Bern, Bern, Switzerland
    Document Type
    • Postprint
    Language
    • English
    Published in
    • Interactive CardioVascular and Thoracic Surgery, 2016, vol. 23, no. 4, p. 665-667. Oxford University Press
    Other Version
    OAI-PMH Identifier
    • oai:doc.rero.ch:331029
    Summary
    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.