Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Mitral Valve Repair for Barlow's Disease with Mitral Annular and Subvalvular Calcification: A Case Report

  • Nakamae, Kosuke (Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital) ;
  • Oshitomi, Takashi (Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital) ;
  • Takaji, Kentaro (Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital) ;
  • Uesugi, Hideyuki (Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital)
  • Received : 2021.09.27
  • Accepted : 2021.11.26
  • Published : 2022.04.05
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Abstract

Barlow's disease with mitral annular calcification encompassing the subvalvular apparatus, including the valve leaflet and chordae, is extremely rare, and mitral valve repair in such cases is challenging. We report a case of a 60-year-old woman with mitral valve regurgitation that was successfully controlled by resecting the rough zone of P2 and calcifications on the excess leaflet regions and subvalvular apparatus, while retaining the calcification of P3 and implanting artificial chordae and an annuloplasty ring. Mitral valve repair for such cases requires an individualized and compounded surgical strategy for the technique to treat Barlow's disease and manage calcification to control mitral regurgitation.

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References

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