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Original Articles: Adult Cardiac

Invited Commentary

Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, CII/ 26 Ansari Nagar, New Delhi, 110029 India

(Email: asampath_kumar@hotmail.com).

The first 20% of the full text of this article appears below.

For nearly half a century the mitral valve has been replaced or reconstructed with rigid, inflexible metallic rings or frames. It was not known for many years that this may affect both the mitral annular (MA) and left ventricular outflow tract (LVOT) dynamics. Dynamic imaging was not available then, and surgeons were more concerned with patient survival. Since the demonstration in 1996 that fixing the MA with a rigid ring can cause LVOT . . . [Full Text of this Article]

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