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The role of surgical transcatheter valve implantation for the treatment of severe mitral annular calcification
Author(s) -
Jeganathan Reuben,
Imran Hamid Umar,
Johnston Nicola,
Owens Colum,
Spence Mark,
Manoharan Ganesh,
Nzewi Onyekwelu
Publication year - 2019
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/jocs.14004
Subject(s) - medicine , calcification , cardiopulmonary bypass , mitral valve , cardiology , incidence (geometry) , surgery , balloon , atrioventricular valve , population , radiology , physics , environmental health , ventricle , optics
With a rise in the aging population, mitral annular calcification is increasingly encountered with an incidence of 10% in over 70 years old. This with increasing patient comorbidities presents a technical challenge due to the risk of atrioventricular disruption which is associated with high operative mortality of up to 75%. We describe two cases of severe mitral disease with marked annular calcification successfully treated with a balloon expandable transcatheter valve which was deployed on cardiopulmonary bypass via a trans‐atrial approach.