Open vascular plug placement to complete mitral valve seating in radiation heart disease Andrew M. Vekstein, BS, Jay J. Idrees, MD, Samir Kapadia, MD,

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Presentation transcript:

Open vascular plug placement to complete mitral valve seating in radiation heart disease Andrew M. Vekstein, BS, Jay J. Idrees, MD, Samir Kapadia, MD, Douglas R. Johnston, MD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 5, Pages e101-e102 (November 2016) DOI: 10.1016/j.jtcvs.2016.06.061 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Preoperative CT images and 3D reconstruction. A, Axial section of mitral annulus. B, 3D reconstructed view from left atrium. Calcification has been isolated with a modified thresholding technique. C, Sagittal view of severe confluent MAC and papillary muscle calcification. D, 3D reconstruction showing MAC with calcification extending into LA and LV. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e101-e102DOI: (10.1016/j.jtcvs.2016.06.061) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Intraoperative images and artist renderings of completed Amplatzer plug placement in the P2-P3 region completing valve seating. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e101-e102DOI: (10.1016/j.jtcvs.2016.06.061) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Artistic renderings of open vascular occluder placement. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e101-e102DOI: (10.1016/j.jtcvs.2016.06.061) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions