Abstract
Mitral valve annular calcium presents a significant problem when performing a repair. Extensive calcium, that circumscribes the entire annulus or invades either the ventricle or leaflet surfaces, precludes minimally invasive or robotic repair strategies, and a sternotomy should be used for extensive debridement to promote safety and efficacy. Nevertheless, isolated islets of calcium often are encountered when repairing degenerative mitral valves and in this situation robotic techniques can be used for annular debridement and reconstruction. This chapter describes robotic methods to repair mitral valves in the presence of limited leaflet or annular calcium.
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Grossi EA, Galloway AC, Steinberg BM, et al. Severe calcification does not affect long-term outcome of mitral valve repair. Ann Thorac Surg. 1994;58:685–7.
Carpentier AF, Pellerin M, Fuzellier JF, Relland JYM. Extensive calcification of the mitral valve annulus: pathology and surgical management. J Thorac Cardiovasc Surg. 1996;111:718–30.
Maisano F, Caldarola A, Blasio A, et al. Midterm results of edge to edge mitral valve repair without annuloplasty. Jour Thorac Cardiovasc Surg. 2003;126:1987–97.
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© 2014 Springer-Verlag London
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Chitwood, W.R. (2014). Robotic Mitral Repair: Isolated Annular and Leaflet Calcium. In: Chitwood, Jr., W. (eds) Atlas of Robotic Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6332-9_19
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DOI: https://doi.org/10.1007/978-1-4471-6332-9_19
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Publisher Name: Springer, London
Print ISBN: 978-1-4471-6331-2
Online ISBN: 978-1-4471-6332-9
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