Supra-Annular Mitral Valve Replacement in an Infant With Infective Endocarditis Sanae Yamauchi, MD, Shigemitsu Iwai, MD, Yuji Tominaga, MD, Yosuke Kugo,

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Supra-Annular Mitral Valve Replacement in an Infant With Infective Endocarditis Sanae Yamauchi, MD, Shigemitsu Iwai, MD, Yuji Tominaga, MD, Yosuke Kugo, MD, Moyu Hasegawa, MD, Futoshi Kayatani, MD, Kunihiko Takahashi, MD, Hisaaki Aoki, MD, Hiroaki Kawata, MD The Annals of Thoracic Surgery Volume 105, Issue 1, Pages e27-e29 (January 2018) DOI: 10.1016/j.athoracsur.2017.08.042 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Surgical view of the mitral valve through the right side of the left atriotomy. There was large vegetation attached to the posterior leaflet and occupying the left atrium. The Annals of Thoracic Surgery 2018 105, e27-e29DOI: (10.1016/j.athoracsur.2017.08.042) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A mechanical valve with short-segment polytetrafluoroethylene tube graft was inserted into the supra-annular position (before tying the stitches). Gentian violet was applied to the sewing ring and tube graft. The Annals of Thoracic Surgery 2018 105, e27-e29DOI: (10.1016/j.athoracsur.2017.08.042) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 A chest radiograph obtained on postoperative day 30. A mechanical valve is placed in the position of the mitral valve without pulmonary congestion. The Annals of Thoracic Surgery 2018 105, e27-e29DOI: (10.1016/j.athoracsur.2017.08.042) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions