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Surgical Management of Caseous Calcification of the Mitral Annulus

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1 Surgical Management of Caseous Calcification of the Mitral Annulus
Laura S. Fong, MBBS, Aden J. McLaughlin, MBBS, N. Louis Okiwelu, MS, Indra A.J. Nordstrand, FRACS, Mark Newman, FRACS, Jurgen Passage, FRACS, Pragnesh V. Joshi, FRACS  The Annals of Thoracic Surgery  Volume 104, Issue 3, Pages e291-e293 (September 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Preoperative imaging. (A) Magnetic resonance imaging of the brain demonstrating multiple embolic infarcts (arrows). (B) Transthoracic echocardiography demonstrating a large round echo-dense mass (arrow) in the mitral annulus region. (V = ventricle.) (C, D) Computed tomography demonstrating the centrally hyperdense, peripherally calcified mass (arrows). The Annals of Thoracic Surgery  , e291-e293DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Intraoperative findings. (A) Mitral valve annulus (arrow) with caseous calcification of the mitral annulus cavity. (B) Pericardial patch closure (arrow) of defect. (C) Completed repair with bioprosthetic valve. The Annals of Thoracic Surgery  , e291-e293DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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