Ultrasonic Debridement of Mitral Calcification
Dense annular calcification to the valve attachment is particularly hazardous during mitral valve replacement because of the difficulty of placing sutures and the risk of atrioventricular rupture. We report 11 patients who underwent decalcification of the mitral anulus with the Cavitron Ultrasound S...
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| Veröffentlicht in: | Journal of cardiac surgery 1997-07, Vol.12 (4), p.240-242 |
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| container_title | Journal of cardiac surgery |
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| creator | Baumgartner, Fritz J. Pandya, Avni Omari, Bassam O. Pandya, Andy Turner, Carrie Milliken, Jeffrey C. Robertson, John M. |
| description | Dense annular calcification to the valve attachment is particularly hazardous during mitral valve replacement because of the difficulty of placing sutures and the risk of atrioventricular rupture. We report 11 patients who underwent decalcification of the mitral anulus with the Cavitron Ultrasound Surgical Aspirator (CUSA) during mitral valve replacement. This resulted in a greatly simplified suture placement and prosthetic valve seating as well as enlargement of the annular orifice. Four other patients underwent CUSA debridement of the anterior leaflet of the mitral valve during concomitant aortic valve replacement and CUSA debridement of the aortic anulus. There were no operative deaths or major complications. Ultrasonic debridement is a useful adjunct in the surgical management of the heavily calcified mitral valve. |
| doi_str_mv | 10.1111/j.1540-8191.1997.tb00133.x |
| format | Article |
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We report 11 patients who underwent decalcification of the mitral anulus with the Cavitron Ultrasound Surgical Aspirator (CUSA) during mitral valve replacement. This resulted in a greatly simplified suture placement and prosthetic valve seating as well as enlargement of the annular orifice. Four other patients underwent CUSA debridement of the anterior leaflet of the mitral valve during concomitant aortic valve replacement and CUSA debridement of the aortic anulus. There were no operative deaths or major complications. 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We report 11 patients who underwent decalcification of the mitral anulus with the Cavitron Ultrasound Surgical Aspirator (CUSA) during mitral valve replacement. This resulted in a greatly simplified suture placement and prosthetic valve seating as well as enlargement of the annular orifice. Four other patients underwent CUSA debridement of the anterior leaflet of the mitral valve during concomitant aortic valve replacement and CUSA debridement of the aortic anulus. There were no operative deaths or major complications. Ultrasonic debridement is a useful adjunct in the surgical management of the heavily calcified mitral valve.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Valve - surgery</subject><subject>Calcinosis - surgery</subject><subject>Debridement - instrumentation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Valve Prosthesis Implantation - instrumentation</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mitral Valve - surgery</subject><subject>Treatment Outcome</subject><subject>Ultrasonic Therapy - instrumentation</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkF1LwzAUhoMoc05_glC88K41X20Sb0Q6nY7NXbgpeBPSNoXMfsymw-3fm9Kxe89NDrznPIc8ANwgGCBXd-sAhRT6HAkUICFY0CYQIkKC3QkYHqNTMIScRz6kFJ6DC2vXEGJMCRyAgQgFQowPQbAq2kbZujKpN9ZJYzJd6qr16tybG5cUXqyK1OQmVa2pq0twlqvC6qvDOwKr56dl_OLPFpPX-HHmpzSC0E9QlGQh5lBzxWiWC8VDzHKKietgEmYZ4animDGFs4hxpEmSaM0Q4pRrgckI3PbcTVP_bLVtZWlsqotCVbreWsncBxjikRu87wfTpra20bncNKZUzV4iKDtZci07I7IzIjtZ8iBL7tzy9eHKNil1dlw92HH5Q5__mkLv_0GW00X8jil0BL8nGNvq3ZGgmm8ZMcJC-fk2keMvKubiYyqX5A_2fYfr</recordid><startdate>19970701</startdate><enddate>19970701</enddate><creator>Baumgartner, Fritz J.</creator><creator>Pandya, Avni</creator><creator>Omari, Bassam O.</creator><creator>Pandya, Andy</creator><creator>Turner, Carrie</creator><creator>Milliken, Jeffrey C.</creator><creator>Robertson, John M.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970701</creationdate><title>Ultrasonic Debridement of Mitral Calcification</title><author>Baumgartner, Fritz J. ; Pandya, Avni ; Omari, Bassam O. ; Pandya, Andy ; Turner, Carrie ; Milliken, Jeffrey C. ; Robertson, John M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4600-b16bd5280e8a74df9a8527f4239a80b5dd38ca8277a2d6781e3bbee711848e923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Valve - surgery</topic><topic>Calcinosis - surgery</topic><topic>Debridement - instrumentation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Valve Prosthesis Implantation - instrumentation</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mitral Valve - surgery</topic><topic>Treatment Outcome</topic><topic>Ultrasonic Therapy - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baumgartner, Fritz J.</creatorcontrib><creatorcontrib>Pandya, Avni</creatorcontrib><creatorcontrib>Omari, Bassam O.</creatorcontrib><creatorcontrib>Pandya, Andy</creatorcontrib><creatorcontrib>Turner, Carrie</creatorcontrib><creatorcontrib>Milliken, Jeffrey C.</creatorcontrib><creatorcontrib>Robertson, John M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baumgartner, Fritz J.</au><au>Pandya, Avni</au><au>Omari, Bassam O.</au><au>Pandya, Andy</au><au>Turner, Carrie</au><au>Milliken, Jeffrey C.</au><au>Robertson, John M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasonic Debridement of Mitral Calcification</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>1997-07-01</date><risdate>1997</risdate><volume>12</volume><issue>4</issue><spage>240</spage><epage>242</epage><pages>240-242</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><abstract>Dense annular calcification to the valve attachment is particularly hazardous during mitral valve replacement because of the difficulty of placing sutures and the risk of atrioventricular rupture. 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| identifier | ISSN: 0886-0440 |
| ispartof | Journal of cardiac surgery, 1997-07, Vol.12 (4), p.240-242 |
| issn | 0886-0440 1540-8191 |
| language | eng |
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| source | MEDLINE; Wiley Journals Collection |
| subjects | Adult Aged Aged, 80 and over Aortic Valve - surgery Calcinosis - surgery Debridement - instrumentation Female Follow-Up Studies Heart Valve Prosthesis Implantation - instrumentation Humans Male Middle Aged Mitral Valve - surgery Treatment Outcome Ultrasonic Therapy - instrumentation |
| title | Ultrasonic Debridement of Mitral Calcification |
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