Mitral valve replacement with posterior transposition of the anterior mitral leaflet which covers and buttresses partially decalcified posterior mitral annular bed

Is partial decalcification of posterior mitral annular bed logical in all mitral valve replacement procedures?

Haircut mitral valve repair: posterior leaflet-plasty.

A 63-year-old man presented with symptomatic severe mitral regurgitat ion. Both trans-esophageal 3-D echocardiography and operative linear measurements showed a 25 mm long A2 anterior leaflet with a very wide (23 mm) prolapsing 30 mm long P2 posterior mid-scallop (Figure 1A,B). P1 and P3 were diminutive in height and width (Figure 2). A ‘haircut’ posterior leaflet-plasty was done to maintain le...

Challenging valve replacement in posterior mitral annular calcification.

The ‘How-to-do’ paper by Nezic et al. [1] was truly interesting. These authors resolve, by a simple technique, a really challenging surgical problem: the method of implanting a valve prosthesis when the posterior mitral annulus is heavily calcified, sometimes involving the posterior left ventricular myocardium. The only drawback of the above-mentioned technique appears to be the calcification o...

Using a double-plicated posterior leaflet as an anchor for mitral valve replacement: a case of mitral annular calcification

We present a 62-year-old man with mitral regurgitation whose posterior annulus had severe calcification. Mitral valve replacement was performed by anchoring the cuff on a double-plicated posterior leaflet, and reinforcing with an equine pericardium. The patient is doing well 13 years after surgery with echocardiography showing no problems.

Effectiveness of Posterior Mitral Leaflet Preservation in Mitral Valve Replacement Surgery: A Prospective Study

Introduction: Mitral valve replacement with chordal preservation requires technical skill, long cross clamp time and prolonged ischemic time of myocardium. Materials and Methods: All patients undergoing mitral valve replacement in the Department of Cardiothoracic Surgery, Government Rajaji Hospital during December 2009 to December 2011 were included in the study. Results: All the observations a...