Replacement of A2 and A3 by pericardium due to endocarditis of the anterior leaflet of the mitral valve.

Araji, Omar A; Barquero, Jose M; Almendro, Manuel; Gutierrez, Maria Angeles; Garcia-Borbolla, Mariano; Velázquez, Carlos J; Infantes, Carlos A · Ann Thorac Surg · 2009

case_report · Level V

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Abstract

We present a case of acute endocarditis due to enterococcus faecalis involving partially A2 and completely A3 (Carpentier classification) with destruction of the free margin of the mitral valve. Repair was performed by using glutaraldehyde treated porcine pericardium to replace the defect and neochordae of polytetrafluoroethylene sutured to the free margin of the pericardium to achieve competence. Intraoperative and follow-up echocardiogaphies showed no regurgitation.

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