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We performed explantation of a chronically thrombosed St. Jude Medical mechanical mitral prosthesis with failed thrombolysis and re-replacement of the mitral valve using another St. Jude Medical mechanical mitral prosthesis. The technical details of explantation and re-implantation without causing injury to the cardiac chambers, great vessels, and atrioventricular groove and the importance of elective femoro-femoral bypass prior to sternotomy has been described.

Redo Mitral Valve Replacement using a St. Jude Medical Mechanical Prosthesis in a Patient with Thrombosed Mitral Prosthesis: A Video Presentation