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Sapien XT Transcatheter Mitral Valve Replacement Under Direct Vision in the Setting of Significant Mitral Annular Calcification Takashi Murashita, MD, Rakesh M. Suri, MD, DPhil, Richard C. Daly, MD The Annals of Thoracic Surgery Volume 101, Issue 3, Pages (March 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 Preoperative transthoracic echocardiography showed severe calcified mitral stenosis and mitral annular calcification. The Annals of Thoracic Surgery , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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Fig 2 Intraoperative photograph showed severe mitral annular calcification. The Annals of Thoracic Surgery , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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Fig 3 The 29-mm Sapien XT valve was implanted and expanded with the balloon under direct visualization. The Annals of Thoracic Surgery , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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Fig 4 Satisfactory positioning and stability were obtained. A water test showed minimal periprosthetic leakage. The Annals of Thoracic Surgery , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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Fig 5 Postoperative transthoracic echocardiography showed only trivial mitral valve periprosthetic regurgitation. The Annals of Thoracic Surgery , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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