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Ann Thorac Surg 1999;68:2336-2338
© 1999 The Society of Thoracic Surgeons

Case Reports

Implantation of a mechanical valve within a flexible mitral annular ring

Yuzuru Sakakibara, MDa, Yoshiharu Enomoto, MDa, Akinobu Sasaki, MDa, Motoo Osaka, MDa, Toshio Mitsui, MDa

a Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Japan

Address reprint requests to Dr Sakakibara, Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba Science City, 305-8575 Ibaraki, Japan

The implantation of a mechanical valve within the orifice of a mitral Duran flexible annular ring is presented. Exact orifice matches of the former ring and the new mechanical valve prosthesis (Advancing The Standard [ATS]; ATS Medical Inc, Minneapolis, MN) can be obtained using a standard mitral type ATS valve, when the size of the former Duran ring is larger than 31 mm. If ring dehiscence is not noted at reoperation after mitral valve repair, this procedure can be simply performed in patients with late mitral valve dysfunction requiring valve replacement.






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Copyright © 1999 by The Society of Thoracic Surgeons.