Reconstructive surgery of an extremely calcified mitral valve in Barlow disease patient: A case report

Introduction: Mitral valve calcifications are frequent finding in the Barlow disease. This is makinkg mitral repair surgery even more demanding in already complex valve pathology. Case report: Fifty-five year old Barlow disease patient underwent mitral repair surgery due to posterior leafle...

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Main Authors: Stojanović Ivan, Kaitović Marko, Novaković Aleksandra, Vuković Petar
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2019-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700117S.pdf
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author Stojanović Ivan
Kaitović Marko
Novaković Aleksandra
Vuković Petar
author_facet Stojanović Ivan
Kaitović Marko
Novaković Aleksandra
Vuković Petar
author_sort Stojanović Ivan
collection DOAJ
description Introduction: Mitral valve calcifications are frequent finding in the Barlow disease. This is makinkg mitral repair surgery even more demanding in already complex valve pathology. Case report: Fifty-five year old Barlow disease patient underwent mitral repair surgery due to posterior leaflet prolapse at P2 level and extensive posterior leaflet and annular calcifications as well. Prolapsed scalop was resected, while P1 and P3 scalops were detached from the annulus. After complete posterior annulus decalcification, so formedlarge atrio-ventricular defect was reconstructed with autologous pericardial patch and double suture line technique.P1 and P3 segments were reatched thereafter by sliding technique, and sutured with no strain. Annuloplasty was performed with saddle rigid ring No 36. Patient was discharged nine days after the surgery with just a trace of mitral reguritation. Conclusion: Annular decalcificaion and reconstruction in patients with calcified Barlow mitral disease is neccessary for safe and durable mitral valve repair surgery.
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id doaj-art-3dc4c1d0c8314a2db8e8eeda62966539
institution Kabale University
issn 0042-8450
2406-0720
language English
publishDate 2019-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
record_format Article
series Vojnosanitetski Pregled
spelling doaj-art-3dc4c1d0c8314a2db8e8eeda629665392025-08-20T03:55:40ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176555255410.2298/VSP170312117S0042-84501700117SReconstructive surgery of an extremely calcified mitral valve in Barlow disease patient: A case reportStojanović Ivan0Kaitović Marko1Novaković Aleksandra2Vuković Petar3Cardiovascular Institute „Dedinje“, Belgrade, SerbiaCardiovascular Institute „Dedinje“, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Belgrade, SerbiaCardiovascular Institute „Dedinje“, Belgrade, SerbiaIntroduction: Mitral valve calcifications are frequent finding in the Barlow disease. This is makinkg mitral repair surgery even more demanding in already complex valve pathology. Case report: Fifty-five year old Barlow disease patient underwent mitral repair surgery due to posterior leaflet prolapse at P2 level and extensive posterior leaflet and annular calcifications as well. Prolapsed scalop was resected, while P1 and P3 scalops were detached from the annulus. After complete posterior annulus decalcification, so formedlarge atrio-ventricular defect was reconstructed with autologous pericardial patch and double suture line technique.P1 and P3 segments were reatched thereafter by sliding technique, and sutured with no strain. Annuloplasty was performed with saddle rigid ring No 36. Patient was discharged nine days after the surgery with just a trace of mitral reguritation. Conclusion: Annular decalcificaion and reconstruction in patients with calcified Barlow mitral disease is neccessary for safe and durable mitral valve repair surgery.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700117S.pdfbarlow syndromemitral valve stenosismitral valve annuloplastyreconstructive surgical procedures
spellingShingle Stojanović Ivan
Kaitović Marko
Novaković Aleksandra
Vuković Petar
Reconstructive surgery of an extremely calcified mitral valve in Barlow disease patient: A case report
Vojnosanitetski Pregled
barlow syndrome
mitral valve stenosis
mitral valve annuloplasty
reconstructive surgical procedures
title Reconstructive surgery of an extremely calcified mitral valve in Barlow disease patient: A case report
title_full Reconstructive surgery of an extremely calcified mitral valve in Barlow disease patient: A case report
title_fullStr Reconstructive surgery of an extremely calcified mitral valve in Barlow disease patient: A case report
title_full_unstemmed Reconstructive surgery of an extremely calcified mitral valve in Barlow disease patient: A case report
title_short Reconstructive surgery of an extremely calcified mitral valve in Barlow disease patient: A case report
title_sort reconstructive surgery of an extremely calcified mitral valve in barlow disease patient a case report
topic barlow syndrome
mitral valve stenosis
mitral valve annuloplasty
reconstructive surgical procedures
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700117S.pdf
work_keys_str_mv AT stojanovicivan reconstructivesurgeryofanextremelycalcifiedmitralvalveinbarlowdiseasepatientacasereport
AT kaitovicmarko reconstructivesurgeryofanextremelycalcifiedmitralvalveinbarlowdiseasepatientacasereport
AT novakovicaleksandra reconstructivesurgeryofanextremelycalcifiedmitralvalveinbarlowdiseasepatientacasereport
AT vukovicpetar reconstructivesurgeryofanextremelycalcifiedmitralvalveinbarlowdiseasepatientacasereport