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Surgical mitral valve replacement in patients with extensive mitral annular calcification remains a high-risk challenge associated with multiple severe complications.
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Surgical mitral valve replacement in patients with extensive mitral annular calcification remains a high-risk challenge requiring standardized approaches.
Surgical mitral valve replacement in patients with extensive mitral annular calcification (MAC) remains a surgical challenge for several reasons: patients are older, with multiple associated comorbidities, and the surgical procedure is risky and associated with several well-reported complications, including left circumflex coronary damage, moderate-to-severe paravalvular leak (PVL), patient–prosthesis mismatch, and atrioventricular groove rupture. Multiple surgical techniques have been used to deal with MAC.
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Francesco Formica (2021) conducted an editorial in Extensive mitral annular calcification (MAC). Surgical mitral valve replacement was evaluated. Surgical mitral valve replacement in patients with extensive mitral annular calcification remains a high-risk challenge associated with multiple severe complications.
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