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“Double‐orifice” Technique To Repair Extensive Mitral Valve Excision Following Acute Endocarditis
Author(s) -
Lorusso Roberto,
Fucci Carlo,
Pentiricci Samuele,
Coletti Giuseppe,
Canna Giovanni,
Zogno Mario
Publication year - 1998
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.1540-8191.1998.tb01049.x
Subject(s) - medicine , endocarditis , cardiology , body orifice , mitral valve , mitral valve repair , surgery , mitral valve replacement , anatomy
The use of conservative surgical techniques to treat mitral valve regurgitation secondary to acute endocarditis is controversial. Reconstruction of the anterior leaflet may represent an additional challenge in such a setting. We report a case of mitral valve repair where extensive excision of the anterior leaflet and related chordae tendinea was necessary because of large vegetation secondary to acute endocarditis. The “double‐orifice” technique was performed and allowed the salvage of the native valve. There was no recurrent infection at 6 months from surgery, with optimal hemodynamic results. ( J Card Surg 7998; 73:24–26)