Aortic & Mitral Valve Replacement for Small Extensively Calcified Annulus Utilizing a Combined Transseptal and Transaortic Approach with Reconstruction of the Intravalvular Fibrosa

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Aortic & Mitral Valve Replacement for Small Extensively Calcified Annulus Utilizing a Combined Transseptal and Transaortic Approach with Reconstruction of the Intravalvular Fibrosa

By Arun Singh 4 Videos

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January 19, 2017

Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body has been described ...
read more ↘ before in patients with aortic root abscess as well as in valvular heart disease with small annuli as well as extensive calcification. Herein, this movie, we demonstrate the indications, surgical technique, clinical characteristics and outcomes of our experience with this approach.
The surgical technique utilizes combined transaortic and transseptal approach to aortic and mitral valve replacement as well as division of the intervalvular fibrosa in order to adequately decalcify and enlarge the mitral and aortic annulus.
The reconstruction of intervalvular fibrosa, left ventricular outflow tract, mitral annulus & interatrial septum was carried out using “Double patch technique” utilizing a folded piece of bovine pericardium.

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