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Ann Thorac Surg 1998;65:1805-1806
© 1998 The Society of Thoracic Surgeons

How to Do It

The "Annular Sandwich": A Simple Method of Reinforcing a Friable Mitral Valve Annulus

Stewart R. Craig, FRCSa, William S. Walker, FRCSa

a Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh, Scotland, United Kingdom

Accepted for publication December 26, 1997.

Address correspondence to Mr Walker, Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh, Scotland EH3 9YW

In 6 patients undergoing prosthetic mitral valve replacement a ring of Teflon felt, instead of conventional Teflon pledgets, was used because of concern about seating a new prosthesis in a disrupted friable mitral valve annulus. The technique avoided the potential risk of pledget loss in the event of suture breakage and, in these patients, prevented postoperative paraprosthetic mitral valve regurgitation.




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Ann. Thorac. Surg., January 1, 1999; 67(1): 292 - 292.
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