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Susumu Nakano
Masataka Mitsuno
Kazuhiro Taniguchi
Hikaru Matsuda
Yasunaru Kawashima
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Ann Thorac Surg 1990;50:923-925
© 1990 The Society of Thoracic Surgeons

Articles

Ultrasonic debridement during mitral valve reconstruction for calcified mitral stenosis

Susumu Nakano, MD*, Masataka Mitsuno, MD, Kazuhiro Taniguchi, MD, Hikaru Matsuda, MD, Yasunaru Kawashima, MD

First Department of Surgery, Osaka University Medical School, Osaka, Japan

Accepted for publication August 6, 1990.

* Address reprint requests to Dr Nakano, First Department of Surgery, Osaka University Medical School, 1-1-50, Fukushima, Fukushima-ku, Osaka, Japan.

An ultrasonic device in conjunction with open mitral commissurotomy was applied in 8 patients with heavily calcified, stenosed mitral valves. In 6 patients, reconstruction of the mitral valve by debridement of the leaflet calcification with the device was successful. Two patients required valve replacement because of an increase in preexistent mitral regurgitation caused by excessive decalcification. The ultrasonic device proved to be a useful and effective adjunct for salvaging the heavily calcified mitral valve, which would otherwise have to be replaced.




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