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You are here: Contents > 2016 > Volume 25 Number 4 July 2016 > MITRAL VALVE DISEASE > Mitral Valve Re-Repair in an Adult Patient Having Undergone Mitral Ring Annuloplasty at Five Years of Age

Mitral Valve Re-Repair in an Adult Patient Having Undergone Mitral Ring Annuloplasty at Five Years of Age

Jong Hun Kim1,2, Tae Youn Kim1, Jong Bum Choi1,2,3, Ja Hong Kuh1,2

1Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School, Jeonju, Chonbuk, Republic of Korea
2Research Institute of Clinical Medicine of Chonbuk National University and Biomedical Research Institute of Chonbuk, National University Hospital, Jeonju, Chonbuk, Republic of Korea
3Electronic correspondence: jobchoi@jbnu.ac.kr
In adult patients who have undergone mitral annuloplasty with a rigid ring at a young age, the mitral valve may ultimately deform and demonstrate insufficient growth because the valve annulus is fixed to the ring. Mitral valve re-repair, following this scenario, was performed for mitral stenoinsufficiency in a 26-year-old female patient who had undergone mitral annuloplasty with a rigid ring at the age of five years. The valve re-repair procedure consisted of decalcification and stripping of the anterior leaflet and annulus, posterior leaflet augmentation using an elliptical autologous pericardial patch, and a posterior strip annuloplasty sparing the anterior annulus and commissures. Using this procedure, the mitral valve recovered sufficient coaptation area for valve competence, and anterior annular motion was resumed with resultant dynamic changes of the septolateral annular dimension.

The Journal of Heart Valve Disease 2016;25:483-486


Mitral Valve Re-Repair in an Adult Patient Having Undergone Mitral Ring Annuloplasty at Five Years of Age

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