A Novel Technique of Supra-Annular Mitral Valve Replacement

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Presentation transcript:

A Novel Technique of Supra-Annular Mitral Valve Replacement Si Chan Sung, MD, Yun Hee Chang, MD, Hyoung Doo Lee, MD, Jong Soo Woo, MD The Annals of Thoracic Surgery Volume 86, Issue 3, Pages 1033-1035 (September 2008) DOI: 10.1016/j.athoracsur.2008.01.017 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Schematic drawings of a novel technique of supra-annular mitral valve replacement. (A) The valve metal housing was inserted into the short-segment polytetrafluoroethylene (PTFE) tube graft, which was then attached to the sewing ring of the valve with a continuous PTFE suture. (B) The outflow margin of the PTFE tube graft was then threaded onto the valve sutures (B, C) and short longitudinal incisions were made in the PTFE tube graft between the two limbs of each mattress suture to allow the tube to conform to the smaller annulus as the sutures were tied. The Annals of Thoracic Surgery 2008 86, 1033-1035DOI: (10.1016/j.athoracsur.2008.01.017) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Photograph of the 16-mm mechanical mitral valve attached to the polytetrafluoroethylene tube graft. The Annals of Thoracic Surgery 2008 86, 1033-1035DOI: (10.1016/j.athoracsur.2008.01.017) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative two-dimensional echocardiographic scan showing supra-annular location of mechanical mitral valve (arrow). (AO = aorta; LA = left atrium; LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery 2008 86, 1033-1035DOI: (10.1016/j.athoracsur.2008.01.017) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions