Key result
Mitral valve replacement using CUSA decalcification and pericardial patch reconstruction succeeds without embolic complications or leakage.
Case Report (n=1)
Decalcification using CUSA and annular reconstruction with a pericardial patch is a feasible surgical technique for mitral valve replacement in patients with severe mitral annular calcification.
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Supports feasibility in select severe MAC cases; leaves open need for prospective validation before wider use.
Yoshikai et al. (2007) conducted a case report in Mitral valve stenosis and severe mitral annular calcification (n=1). Mitral valve replacement with decalcification using CUSA and annular reconstruction with an autologous pericardial patch was evaluated on Postoperative recovery and prosthetic valve function. Mitral valve replacement using CUSA for decalcification and an autologous pericardial patch for annular reconstruction was successfully performed without embolic complications or perivalvular leakage.
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