Using a double-plicated posterior leaflet as an anchor for mitral valve replacement: a case of mitral annular calcification

Abstract

We present a 62-year-old man with mitral regurgitation whose posterior annulus had severe calcification. Mitral valve replacement was performed by anchoring the cuff on a double-plicated posterior leaflet, and reinforcing with an equine pericardium. The patient is doing well 13 years after surgery with echocardiography showing no problems.

Modified Surgical Intervention for Extensive Mitral Valve Endocarditis and Posterior Mitral Annular Calcification

“…In this case, we planned to avoid decalcification of the MAC and to reconstruct a stronger annulus with the hope of minimizing the risk of grave postoperative complications. We modified the surgical techniques proposed by Di Stefano et al [ 7 ] and Taguchi et al [ 8 ] to reconstruct the new annulus. We used bovine pericardium to reinforce the new anchoring site after plicating both the mitral posterior leaflet and the left atrial wall to secure the mitral prosthesis without decalcifying the MAC.…”

Calcified amorphous tumor of the heart in a hemodialysis patient

“…Surgical resection of CAT and mitral valve replacement were performed to prevent systemic thromboembolism in the present case. Surgery to resect MAC is often challenging because calcification is often heavy and deep, and there is a probable risk of rupture, injury to circumflex artery, and thromboembolic events when excavating the area around the posterior atrioventricular groove . In the present case, surgeons decided not to perform complete deep mitral annular decalcification to avoid rupture of the posterior atrioventricular groove during surgical procedure.…”