The mitral annulus can be rendered hostile by several uncommon clinical situations
such as infective endocarditis, calcification, or previous valve surgery. These can
all lead to difficulties seating a prosthesis or annuloplasty ring. The posterior
mitral annulus or anteriorly the intervalvar fibrous body can be affected. These situations
continue to pose a formidable technical challenge to the cardiac surgeon in the operating
room. We review the evidence around solutions for these problems with the intent of
giving surgeons an overview of techniques to address these issues.
Keywords
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Article info
Publication history
Published online: December 05, 2013
Accepted:
October 20,
2013
Received in revised form:
September 22,
2013
Received:
June 3,
2013
Identification
Copyright
© 2013 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
