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二尖瓣环干酪样钙化的外科治疗

Surgical Management of Caseous Calcification of the Mitral Annulus.

作者信息

Fong Laura S, McLaughlin Aden J, Okiwelu N Louis, Nordstrand Indra A J, Newman Mark, Passage Jurgen, Joshi Pragnesh V

机构信息

Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia.

Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia; Department of Cardiothoracic Surgery, St. John of God Hospital, Subiaco, Western Australia; School of Medicine Fremantle, The University of Notre Dame Australia, Fremantle, Western Australia; The Baird Institute, Newtown, New South Wales, Australia.

出版信息

Ann Thorac Surg. 2017 Sep;104(3):e291-e293. doi: 10.1016/j.athoracsur.2017.04.039.

Abstract

Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annular calcification; it can manifest with conduction abnormalities or systemic embolization. It typically involves the posterior mitral annulus, and surgery is indicated for severe mitral valve dysfunction, for embolic complications or when the diagnosis is not certain. We describe a structured approach to the surgical management of CCMA using bovine pericardium to repair the defect.

摘要

二尖瓣环干酪样钙化(CCMA)是二尖瓣环钙化的一种罕见变异形式;它可表现为传导异常或全身性栓塞。它通常累及二尖瓣后环,对于严重二尖瓣功能障碍、栓塞并发症或诊断不明确时,需进行手术治疗。我们描述了一种使用牛心包修复缺损的CCMA手术管理的结构化方法。

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