Valvuloplasty with glutaraldehyde-treated autologous pericardium in patients with complex mitral valve pathology

Ng, Choi-Keung; Nesser, Joachim; Punzengruber, Christian; Pachinger, Otmar; Auer, J.; Franke, H; Hartl, P.

doi:10.1016/s0003-4975(00)02327-4

Cited by 47 publications

(23 citation statements)

References 21 publications

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“…1 The pericardium patch has also been used for leafl et extension plasty or for reconstruction of the annulus after calcium débridement in patients with complex mitral valve disease. 2 Although pericardial annuloplasty may not provide a suffi ciently stable and durable fi xation, 3 in our case the superior strength of the pericardial cord with a width of 1.0 cm was obtained by twisting it in a cord fashion. Moreover, the annuloplasty using a circular ring also prevented further mitral annulus dilatation.…”

Section: Discussionmentioning

confidence: 60%

Use of the pericardial cord as a substitute for an infected mitral prosthetic ring associated with aortic prosthetic valve endocarditis

Matsuyama

Katou

Ueda

2007

Gen Thorac Cardiovasc Surg

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We report the case of a 61-year-old man with prosthetic valve endocarditis after both aortic valve replacement and mitral annuloplasty. Necrotic tissue and dehiscence of the suture line in the aortic annulus were found, and the infection extended to the anterior portion of the mitral prosthetic ring. The autologous pericardial cord was used as a substitute for the infected mitral prosthetic ring, and aortic root replacement was performed with a stentless bioprosthesis. The autologous pericardial cord was useful as a substitute for an infected mitral prosthetic ring.

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Section: Discussionmentioning

confidence: 60%

Use of the pericardial cord as a substitute for an infected mitral prosthetic ring associated with aortic prosthetic valve endocarditis

Matsuyama

Katou

Ueda

2007

Gen Thorac Cardiovasc Surg

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“…This is thought to prevent progressive thickening and early degeneration. 6,7 Despite discussions on this matter, the use of fresh autologous pericardium is becoming more popular in cases with surrounding support tissue (for instance, left ventricle and left atrium posterior wall) and endocarditic cases. The use of glutaraldehyde-processed pericardium in the repair of unsupported areas such as fi brous tissue between aortic and mitral annulus is therefore preferred.…”

Section: Discussionmentioning

confidence: 99%

“…), glutaraldehydeprocessed bovine pericardium or Dacron material can be used for this purpose. 1,2,6,7 Carpentier and colleagues suggest that Tefl on pledgets may lead to local myocardial ischemia and the use of "live vascularized" atrium tissue instead of pericardial patch accelerates recovery. 2 We have not observed any postoperative ischemic events, though we used pericardial patch with Tefl on pledgets.…”

Section: Discussionmentioning

confidence: 99%

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The Use of Autologous Pericardium for Complicated Mitral Valve Annulus

Güden¹,

Kazimoğlu

Sanisoğlu³

et al. 2004

Asian Cardiovasc Thorac Ann

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The study aims to discuss annular repair using the autologous pericardial patch in cases with severe mitral ring calcification and endocarditis during mitral valve replacement. In the study, annular reconstruction was applied, during mitral valve replacement, to 8 patients who had extensive annular calcification or annular destruction due to endocarditis. After annular resection, a two-centimeter wide autologous pericardial patch was sutured continuously to the left ventricular wall close to the posterior annulus. After the valve sutures with pledgets were placed at the back of the pericardial patch, the other edge of the patch was sutured continuously to the left atrial posterior wall. Suturing was complete after the whole annulus was encircled. Thereafter, an appropriately sized mechanical prosthesis valve was used. One patient died postoperatively due to low cardiac output (early mortality 12.5%). Echocardiographical paravalvular leakage was not detected in any of the cases during follow-up. Annular dehiscence and other annular pathologies were also not detected. This reconstructive approach may positively influence mortality and morbidity in cases with complicated mitral pathologies.

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“…Although numerous series have demonstrated successful MV leaflet repair with fresh or glutaraldehyde-treated autologous pericardium, or xenograft, these materials have been used only for patch repair of leaflet perforation, annuloplasty, or leaflet patch augmentation [1,[3][4][5][6].…”

Section: Commentmentioning

confidence: 99%

Reconstruction of the free margin of the anterior mitral leaflet with autologous pericardium in active infected endocarditis

Shin

Mori

Yamabe

et al. 2011

European Journal of Cardio-Thoracic Surgery

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In patients with active infective endocarditis mitral valve repair is better than mitral valve replacement, but it remains a challenge when there has been massive destruction of the rough zone of the anterior leaflet. We report a technical modification of mitral valve repair for advanced active infective endocarditis in which a widely infected rough zone and the chordae were successfully replaced with autologous pericardium and multiple artificial chordae. The procedure described here is capable of improving the prospects of mitral valve repair in advanced infective endocarditis.

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Valvuloplasty with glutaraldehyde-treated autologous pericardium in patients with complex mitral valve pathology

Cited by 47 publications

References 21 publications

Use of the pericardial cord as a substitute for an infected mitral prosthetic ring associated with aortic prosthetic valve endocarditis

Use of the pericardial cord as a substitute for an infected mitral prosthetic ring associated with aortic prosthetic valve endocarditis

The Use of Autologous Pericardium for Complicated Mitral Valve Annulus

Reconstruction of the free margin of the anterior mitral leaflet with autologous pericardium in active infected endocarditis

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