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Ann Thorac Surg 2009;88:e29-e30. doi:10.1016/j.athoracsur.2009.06.079
© 2009 The Society of Thoracic Surgeons
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Teruaki Ushijima
Go Watanabe
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Commissural Autologous Pericardial Patch Repair: A Novel Technique for Active Mitral Valve Endocarditis Involving the Mitral Annulus

Teruaki Ushijima, MD, PhD*, Yujiro Kikuchi, MD, Munehisa Takata, MD, Yoshitaka Yamamoto, MD, Kenji Kawachi, MD, PhD, Go Watanabe, MD, PhD

Division of Cardiac Surgery, Tokyo Medical University, Tokyo, Japan

Accepted for publication June 9, 2009.

* Address correspondence to Dr Ushijima, Division of Cardiac Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan (Email: ushijima{at}tokyo-med.ac.jp).

In patients with massive destruction caused by mitral endocarditis, surgical valve repair remains a challenging issue. Although several procedures have previously been introduced, no standard method for complicated lesions has been established. We describe a technique of mitral valve repair for extensive destructive endocarditis involving both leaflets and the mitral annulus that has provided satisfactory initial results in 2 patients. This procedure is believed to be technically simple and beneficial in terms of mitral repair for active endocarditis.






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