Download PDF
Int J Angiol
DOI: 10.1055/s-0044-1786858
Case Report

Posterior Skirt Technique with Mitral Valve Replacement for Mitral Annular Calcification

Caleb Sokolowski
1   Northwell Health, Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York
,
Tala Al-Saghir
2   Department of Cardiothoracic Surgery, Wayne State School of Medicine, Detroit, Michigan
,
Yeonsoo Sara Lee
3   Department of Education for Mayo Clinic, Mayo Clinic College of Medicine and Science, Rochester, Minnesota
,
Nicolas Ceniza
2   Department of Cardiothoracic Surgery, Wayne State School of Medicine, Detroit, Michigan
,
Frank Baciewicz 
2   Department of Cardiothoracic Surgery, Wayne State School of Medicine, Detroit, Michigan
› Author Affiliations Funding None.
› Further Information
    Permissions and Reprints

Abstract

Severe mitral annular calcification (MAC) presents a surgical challenge due to the complexity of disease and the risk of valve replacement. There have been a variety of techniques to combat this risk including edge-to-edge repair, collar-enforced prosthesis, and pericardial patch techniques. This report highlights a case in which a novel reproducible surgical technique was used to prevent perivalvular leak with mitral valve replacement. This technique may add to surgeons' repertoire in addressing patients with MAC concentrated on the posterior annulus.

Keywords

valve - endocarditis - cardiac surgery - calcium - dystrophic calcification cardiovascular disease - novel technique


Publication History

Article published online:
13 May 2024

© 2024. International College of Angiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Abramowitz Y, Jilaihawi H, Chakravarty T, Mack MJ, Makkar RR. Mitral annulus calcification. J Am Coll Cardiol 2015; 66 (17) 1934-1941
    CrossrefPubMedGoogle Scholar
  • 2 Okada Y. Surgical management of mitral annular calcification. Gen Thorac Cardiovasc Surg 2013; 61 (11) 619-625
    CrossrefPubMedGoogle Scholar
  • 3 Iacona GM, Ali SO, Unai S, Harb SC, Pettersson GB. Mitral valve replacement in patients with severe mitral calcification. JTCVS Tech 2021; 11: 7-9
    CrossrefPubMedGoogle Scholar
  • 4 Senzai M, Tsutsumi Y, Monta O. et al. A technique in mitral valve surgery with mitral annular calcification. AATS 2017
    PubMedGoogle Scholar