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Updated: Aug 9, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Mitral valve replacement in a severely calcified posterior annulus: a novel technique
Wail O El-Amin1, Duncan S Thomson
1Department of Cardiothoracic Surgery, Ward F3, John Hunter Hospital, New South Wales, Locked Bag 1, Hunter Region Mail Centre, NSW 2310, Australia. wailomer@hotmail.com
Abstract:
We describe a technique for insertion of a mitral valve prosthesis in the presence of severe posterior annular calcification by plicating the left atrial tissue over the sewing ring. Extensive calcification often creates the technical difficulty of seating the prosthetic valve resulting in peri prosthetic leakage. Extensive decalcification may weaken the annulus and result in prosthetic valve dehiscence and atrioventricular dissociation.
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