Nonanatomical Mitral Valve Replacement in the Pulmonary Venous Confluence for Heavily Calcified Aortic or Mitral Annulus

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...

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Bibliographic Details
Published in:Seminars in thoracic and cardiovascular surgery 2011, Vol.23 (4), p.339-341
Main Authors: Kogon, Brian E., MD, Jokhadar, Maan, MD, Sahu, Anurag, MD, McConnell, Micheal, MD, Book, Wendy, MD
Format: Article
Language:English
Subjects:
adult congenital heart disease
Aortic Valve - surgery
Calcinosis - surgery
Cardiothoracic Surgery
Echocardiography
Heart Valve Diseases - diagnosis
Heart Valve Diseases - surgery
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - instrumentation
Heart Valve Prosthesis Implantation - methods
Humans
Male
Mitral Valve - surgery
Pericardium - transplantation
Prosthesis Design
Pulmonary Veins - surgery
Salvage Therapy
Suture Techniques
Tomography, X-Ray Computed
Treatment Outcome
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Summary: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.
ISSN:1043-0679
1532-9488
DOI:10.1053/j.semtcvs.2011.12.011