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Ann Thorac Surg 2009;87:653-654. doi:10.1016/j.athoracsur.2008.05.078
© 2009 The Society of Thoracic Surgeons
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Carlos J. Velázquez
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Right arrow Valve disease

How To Do It

Replacement of A2 and A3 by Pericardium Due to Endocarditis of the Anterior Leaflet of the Mitral Valve

Omar A. Araji, MD, PhD*, Jose M. Barquero, MD, Manuel Almendro, MD, Maria Angeles Gutierrez, MD, Mariano Garcia-Borbolla, MD, Carlos J. Velázquez, MD, Carlos A. Infantes, MD

Department of Cardiovascular Surgery, Hospital Virgen Macarena, Seville, Spain

Accepted for publication May 29, 2008.

* Address correspondence to Dr Araji, Department of Cardiovascular Surgery, Hospital Universitario Virgen Macarena, Avenida Dr Fedriani 3, Seville, 41009, Spain (Email: oharaji{at}hotmail.com).

We present a case of acute endocarditis due to enterococcus faecalis involving partially A2 and completely A3 (Carpentier classification) with destruction of the free margin of the mitral valve. Repair was performed by using glutaraldehyde treated porcine pericardium to replace the defect and neochordae of polytetrafluoroethylene sutured to the free margin of the pericardium to achieve competence. Intraoperative and follow-up echocardiogaphies showed no regurgitation.






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