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Ultrasonic Debridement of Mitral Calcification
Author(s) -
Baumgartner Fritz J.,
Pandya Avni,
Omari Bassam O.,
Pandya Andy,
Turner Carrie,
Milliken Jeffrey C.,
Robertson John M.
Publication year - 1997
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1997.tb00133.x
Subject(s) - medicine , debridement (dental) , bone decalcification , surgery , mitral valve , mitral valve replacement , calcification , fibrous joint , concomitant , valve replacement , aortic valve , aortic valve replacement , cardiology , radiology , stenosis , pathology
A bstract Dense annular calcification to the valve attachment is particularly hazardous during mitral valve replacement because of the difficulty of placing sutures and the risk of atrioventricular rupture. We report 11 patients who underwent decalcification of the mitral anulus with the Cavitron Ultrasound Surgical Aspirator (CUSA) during mitral valve replacement. This resulted in a greatly simplified suture placement and prosthetic valve seating as well as enlargement of the annular orifice. Four other patients underwent CUSA debridement of the anterior leaflet of the mitral valve during concomitant aortic valve replacement and CUSA debridement of the aortic anulus. There were no operative deaths or major complications. Ultrasonic debridement is a useful adjunct in the surgical management of the heavily calcified mitral valve.