Mitral valve replacement in patients with severely calcified mitral valve annulus: Surgical technique  Tomislav Mihaljevic, MD, Marijan Koprivanac, MD,

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Mitral valve replacement in patients with severely calcified mitral valve annulus: Surgical technique  Tomislav Mihaljevic, MD, Marijan Koprivanac, MD, Marta Kelava, MD, Nicholas G. Smedira, MD, Bruce W. Lytle, MD, Eugene H. Blackstone, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 146, Issue 1, Pages 233-235 (July 2013) DOI: 10.1016/j.jtcvs.2013.02.034 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Mitral annular calcification before and after decalcification. A, Preoperative chest radiograph with visible mitral annular calcification (circle). B, Postoperative chest radiograph. C and D, En bloc excised mitral annulus with posterior leaflet. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 233-235DOI: (10.1016/j.jtcvs.2013.02.034) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Surgical technique. A, Sharp en bloc decalcification. B, Patch parachuting. C, Patch attachment. D, Completed procedure. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 233-235DOI: (10.1016/j.jtcvs.2013.02.034) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions