G. Ruvolo et al., PATCH-GLUE ANNULAR RECONSTRUCTION FOR MITRAL-VALVE REPLACEMENT IN SEVERELY CALCIFIED MITRAL ANNULUS, The Annals of thoracic surgery, 63(2), 1997, pp. 570-571
Mitral valve replacement in severe annular calcification may be compli
cated by atrioventricular rupture, left circumflex coronary artery inj
ury, and thromboembolic events. Mitral valve replacement was performed
in 2 patients with massive annular calcification, by suturing a Tissu
col fibrin glue-treated Teflon patch on the posterolateral atrial wall
. After 30 and 34 months, respectively, the valve was normally functio
ning and the patients were asymptomatic and free from hemorrhagic and
thromboembolic events. (C) 1997 by The Society of Thoracic Surgeons.