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Repair of perivalvular leakage without re-replacement of prosthetic valves
Masaaki Ryomoto1, Masataka Mitsuno, Shinya Fukui
1Department of Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya, Japan.
Abstract:
Perivalvular leakage after valve replacement is an awkward complication, and is liable to recur if re-replacement of a prosthetic valve is attempted. We describe an alternative way to repair perivalvular leakage by plastering the crack resulting from left-atrial degeneration around the prosthetic cuff using an equine pericardial roll. Our technique, which does not involve re-replacement of the prosthetic valve, is an easy, timesaving, and cost-effective method. The pericardium is useful for covering the crack between the prosthetic cuff and the hard left-atrial wall.
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