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Ann Thorac Surg 1988;46:584-586
© 1988 The Society of Thoracic Surgeons


Articles

Calcified Mitral Valve Annulus: Prosthesis Insertion

Joseph S. Coselli, M.D.*, E. Stanley Crawford, M.D.

Department of Surgery, Baylor College of Medicine, and The Methodist Hospital, Houston, TX

Accepted for publication June 8, 1988.

* Address reprint requests to Dr. Coselli, 6535 Fannin, M.S. B-405, Houston, TX 77030


    Abstract
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 Abstract
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We describe a technique for insertion of a mitral valve prosthesis in the presence of a heavily calcified annulus. The valve leaflets are used for securing the prosthesis, and both the anterior and posterior chordae tendineae and papillary muscle complexes are preserved.


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 Abstract
 References
 

  1. Goodman HB, Dorney ER. Marfan's syndrome with massive calcification of the mitral annulus at age twenty-six Am J Cardiol 1969;24:426.[Medline]
  2. Boone JA, Clowes Jr GHA. Calcified annulus fibrosus with mitral insufficiency in the Marfan syndrome South Med J 1969;62:682690.[Medline]
  3. Thornsvard C, Wolcott BW, D'Ambrosio U. Mitral annulus calcification in Marfan's syndrome—report of a case Med Ann DC 1972;41:451.[Medline]
  4. Fulkerson PK, Beaver BM, Auseon JC, Graber HL. Calcification of the mitral annulus. Etiology, clinical associations, complications, and therapy Am J Med 1979;66:967.[Medline]
  5. Pounder DJ. Calcification of the mitral annulus and its complications Am J Forensic Med Pathol 1982;3:109.[Medline]
  6. Sell S, Scully RE. Aging changes in the aortic and mitral valves Am J Pathol 1965;46:345.[Medline]
  7. McKusick VA. Heritable disorders of connective tissue. St. Louis: Mosby; 1966. pp. 85.
  8. Giampalmo A, Buffa D, Caponnetto S, et al. Myxoid degeneration with prolapse and dystrophic calcification of the annulus fibrosus of the mitral valve Appl Pathol 1983;1:194.[Medline]
  9. MacVaugh III H, Joyner CR, Johnson J. Unusual complications during mitral valve replacement in the presence of calcification of the annulus Ann Thorac Surg 1971;11:336.[Abstract/Free Full Text]
  10. Roberts WC, Morrow AG. Causes of early postoperative death following cardiac valve replacement. Clinico-pathologic correlations in 64 patients studied at necropsy J Thorac Cardiovasc Surg 1967;54:422.[Medline]
  11. Lillehei CW, Levy MJ, Bonnabeau RC. Mitral valve replacement with preservation of papillary muscles and chordae tendineae J Thorac Cardiovasc Surg 1964;4:532.
  12. Craver JM, Jones EL, Guyton RA, et al. Avoidance of transverse midventricular disruption following mitral valve replacement Ann Thorac Surg 1985;40:163.[Abstract/Free Full Text]



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This Article
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