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Asian Cardiovasc Thorac Ann 2002;10:137-140
© 2002 Asia Publishing EXchange Pte Ltd


ORIGINAL CONTRIBUTIONS

Total Reconstruction of the Mitral Valve With Autopericardium: Anatomical Study

Vahe C Gasparyan, MD, Van S Galstyan, MD

Department of Cardiovascular Surgery Mikaelian Surgical Institute Yerevan, Republic of Armenia
Vahe C Gasparyan, MD Tel: 65 6772 5214 Fax: 65 6776 6475 email: vahegasparyan{at}yahoo.com Department of Cardiac, Thoracic and Vascular Surgery, National University Hospital, 5 Lower Kent Ridge Road, Level 2 Linkway Main and Kent Ridge Wing, Singapore 119074, Republic of Singapore.
Mitral valve repair has several advantages over prosthetic valve replacement. A new technique of total reconstruction of the mitral valve with autologous pericardium is described. The native mitral valve leaflets and chordae were excised from 10 human cadaver hearts, in the same way as for prosthetic valve replacement. The dimensions of the physiologically normal mitral valve were used to calculate the parameters for tailoring a corresponding new valve. Autologous pericardium was fixed in 0.625% glutaraldehyde solution for 10 minutes. The calculated parameters of the mitral valve were marked on the pericardium. The new valve was fashioned and inserted in the native valve position. Hydraulic probes showed good competence in all 10 reconstructed mitral valves. This method might be a good alternative to prosthetic valve replacement.







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