1. Use of annulus washer after debridement: A new mitral valve replacement technique for patients with severe mitral annular calcification 
Syed Tarique Hussain, MD, Jahanzaib Idrees, MD, Nicholas A. Brozzi, MD, Eugene H. Blackstone, MD, Gösta B. Pettersson, MD, PhD 
The Journal of Thoracic and Cardiovascular Surgery 
Volume 145, Issue 6, Pages (June 2013)
DOI: /j.jtcvs
Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

2. Figure 1
Technique for mitral valve replacement in patients with severe mitral annulus calcification. A, Appearance of posterior mitral valve annulus after limited calcium debridement and placement of pledget-supported sutures around and through residual calcium. B, Felt washer sandwiched between the annulus and sewing ring of the prosthesis. C, Final appearance: The prosthesis is tied down, and the felt washer is sutured to the atrial wall.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )
Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions