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The Annals of Thoracic Surgery, Vol 50, 923-926, Copyright © 1990 by The Society of Thoracic Surgeons
S Nakano, M Mitsuno, K Taniguchi, H Matsuda and Y Kawashima
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.
ARTICLES
Ultrasonic debridement during mitral valve reconstruction for calcified mitral stenosis
First Department of Surgery, Osaka University Medical School, Japan.
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