We describe an alternative technique for mitral valve replacement in patients with severe mitral annular calcification, in whom conventional techniques are not feasible. A new annulus that allows supra-annular prosthetic implantation is created.
Di StefanoSLópezJFlórezSReyJArevaloASan RománA. Building a new annulus: a technique for mitral valve replacement in heavily calcified annulus. Ann Thorac Surg2009; 87: 1625–1627.
2.
TriggianiMFerroOAlfieriO. Left atrial wall plication for valve replacement in extensively calcified posterior mitral annulus. Ann Thorac Surg1998; 66: 2157–2158.
