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Ann Thorac Surg 1989;48:437-439
© 1989 The Society of Thoracic Surgeons

Articles

Mitral Annular Calcification: A New Technique for Valve Replacement

Thomas J. Vander Salm, MD*

Division of Cardiothoracic Surgery, University of Massachusetts Medical School, Worcester, Massachusetts

Accepted for publication May 30, 1989.

* Address reprint requests to Dr Vander Salm, Department of Surgery, University of Massachusetts Medical School, 55 Lake Ave, N, Worcester, MA 01655

Many dangers attend mitral valve replacement in the presence of dense posterior annular calcification. The procedure described has been successful in 4 patients. The major elements of this procedure include complete ultrasonic debridement of the calcification, reconstitution of the disassembled atrioventricular groove, and retention of the mitral valve leaflets.




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