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Francis D. Ferdinand
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Ann Thorac Surg 1997;63:541-543
© 1997 The Society of Thoracic Surgeons


Case Report

Prosthetic Mitral Valve Replacement: Late Complications After Native Valve Preservation

Eduardo Esper, MD, Francis D. Ferdinand, MD, Solomon Aronson, MD, Robert B. Karp, MD

Section of Cardiac Surgery, Department of Surgery, and Anesthesia and Critical Care, The University of Chicago Hospitals, Pritzker School of Medicine, Chicago, Illinois

Accepted for publication October 15, 1996.

Preservation of the mitral valve leaflet and tensor apparatus during valve replacement is believed to maintain left ventricular performance. The routine use of this technique may lead to left ventricular outflow or inflow obstruction as illustrated in the present report. We recommend mobilization or excision of the anterior mitral valve leaflet and preservation of the posterior leaflet if replacement of the valve is contemplated for incompetence.




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