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Surgical Management of Severe Mitral Annular Calcification by Stefan Elde; Yuanjia Zhu; John W. MacArthur; Y. Joseph Woo is a Medicine article available to read on EtoBox.

What is Surgical Management of Severe Mitral Annular Calcification about?

## Background Surgical management of severe mitral annular calcification (MAC) presents a challenging problem for even the most experienced surgeons. Preoperative planning is the most effective strategy to mitigate risk in these scenarios. MAC alone should not disqualify a patient from consideration for mitral valve repair, although the presence of concurrent greater than moderate stenosis warrants consideration of mitral valve replacement. ## Methods While repair and replacement techniques for mitral regurgitation in the setting of MAC overlap with those used to repair a non-calcified mitral apparatus, there are unique considerations to the surgical conduct of these procedures. Specifically, this article describes techniques that may be employed when the severity of MAC precludes typical repair or replacement strategies. ## Results Between 2014 and 2021, 77 patients were operated on by a single surgeon for mitral valve disease complicated by severe MAC. Using the systematic approach described herein, 1-year mortality was 7.8% and overall mortality over a follow-up period extending 1 to 8 years was 9.1%. ## Conclusions Despite the inherent challenges of mitral valve repair or repla

Who reads Surgical Management of Severe Mitral Annular Calcification?

Author

Stefan Elde; Yuanjia Zhu; John W. MacArthur; Y. Joseph Woo

Publisher

SAGE Publications

Published

2022

Language

EN

Field

Medicine (Health Sciences)