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Case Reports
"Double-orifice" technique to repair extensive mitral valve excision following acute endocarditis.
- R Lorusso, C Fucci, S Pentiricci, G Coletti, G La Canna, and M Zogno.
- Cardiac Surgery Division, Civic Hospital, Brescia, Italy. roberto_lorusso@iol.it
- J Card Surg. 1998 Jan 1; 13 (1): 24-6.
AbstractThe 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.
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