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  • Title: "Double-orifice" technique to repair extensive mitral valve excision following acute endocarditis.
    Author: Lorusso R, Fucci C, Pentiricci S, Coletti G, La Canna G, Zogno M.
    Journal: J Card Surg; 1998 Jan; 13(1):24-6. PubMed ID: 9892481.
    Abstract:
    The use of conservative surgical techniques to treat mitral valve regurgitation secondary to acute endocarditis is controversial. Reconstruction of the anterior leaflet may represent an additional challenge in such a setting. We report a case of mitral valve repair where extensive excision of the anterior leaflet and related chordae tendinea was necessary because of large vegetation secondary to acute endocarditis. The "double-orifice" technique was performed and allowed the salvage of the native valve. There was no recurrent infection at 6 months from surgery, with optimal hemodynamic results.
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