Mitral annulus reconstruction and giant left atrial reduction plasty.

Bourguignon, Thierry; Pressacco, Josephine; Belley-Côté, Emilie; Laflamme, Maxime; El-Hamamsy, Ismail · Ann Thorac Surg · 2013

case_report · Level V

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Abstract

We describe a simple and reproducible technique permitting both effective left atrial reduction plasty and safe mitral annulus reconstruction, using a patch of left atrium tissue. In a 64-year-old patient undergoing redo mitral valve replacement for mechanical prosthesis disinsertion, a giant left atrium and extensive calcification of the mitral annulus were noted. This technique permitted a safe mechanical mitral prosthesis re-replacement and a significant reduction of left atrial volume by 70%.

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