A valve replacement technique for heavily calcified mitral valve and annulus

Hiroshi Iida, Yoshihiko Mochizuki, Yasushi Matsushita, Hideaki Mori, Yasuyuki Yamada, Shinichiro Miyoshi

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Severe mitral annular calcification is frequently encountered in patients with chronic renal failure requiring dialysis. The procedures are described for the implantation of mitral prostheses in two dialysis patients with mitral stenosis who exhibited heavily calcified mitral annuli. In both cases the calcifications extended around the entire mitral annulus as well as the valve leaflets, papillary muscle, atrial wall and ventricular myocardium, making it impossible to secure prosthetic valves to the mitral annuli. Before implantation, the calcification was partially debrided ultrasonically, and an 'atrioventricular channel' created. A mechanical valve with a polyester fabric collar was fixed on the atrial side of the calcified annulus using double sutures and gelatin-resorcin-formol glue. Perivalvular leakage, obstruction of valve opening or tortuous movements of prosthetic valve ring were not observed, and neither patient developed heart failure after surgery. This technique represents a potentially useful approach in the surgical treatment of patients with severely calcified mitral annuli.

Original languageEnglish
Pages (from-to)209-211
Number of pages3
JournalJournal of Heart Valve Disease
Volume14
Issue number2
Publication statusPublished - 2005
Externally publishedYes

    Fingerprint

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Iida, H., Mochizuki, Y., Matsushita, Y., Mori, H., Yamada, Y., & Miyoshi, S. (2005). A valve replacement technique for heavily calcified mitral valve and annulus. Journal of Heart Valve Disease, 14(2), 209-211.