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Updated: Nov 20, 2025

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Hybrid Double Valve Replacement for Multivalvular Disease With Severe Mitral Annular Calcification
Mahmoud Alukayli1,2, Satoru Fujii3, Jill Gelinas1
170384 Division of Cardiac Surgery, Western University, London, ON, Canada.
Abstract:
Severe mitral annular calcification poses a significant challenge, particularly in higher risk, frail, elderly patients with multivalvular disease. Both surgical and transcatheter options exist but remain fraught with risks of paravalvular leak, atrioventricular groove disruption, patient prosthesis mismatch, and left ventricular outflow tract obstruction. We present an innovative hybrid surgical approach to manage severe aortic and mitral valve disease in a Jehovah's Witness patient with severe circumferential mitral annular calcification.
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