Reconstruction of the free margin of the anterior mitral leaflet with autologous pericardium in active infected endocarditis | Zendy

Hankei Shin | Zendy; Mitsuharu Mori | Zendy; Kentaro Yamabe | Zendy; Shiro Iwanaga | Zendy

Open Access

Reconstruction of the free margin of the anterior mitral leaflet with autologous pericardium in active infected endocarditis

Author(s) -

Hankei Shin,

Mitsuharu Mori,

Kentaro Yamabe,

Shiro Iwanaga

Publication year - 2010

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2010.08.045

Subject(s) - infective endocarditis , pericardium , medicine , mitral valve repair , endocarditis , mitral valve , cardiology , margin (machine learning) , mitral valve replacement , surgery , machine learning , computer science

In patients with active infective endocarditis mitral valve repair is better than mitral valve replacement, but it remains a challenge when there has been massive destruction of the rough zone of the anterior leaflet. We report a technical modification of mitral valve repair for advanced active infective endocarditis in which a widely infected rough zone and the chordae were successfully replaced with autologous pericardium and multiple artificial chordae. The procedure described here is capable of improving the prospects of mitral valve repair in advanced infective endocarditis.

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