naa a22 4500 510728847 CHVBK 20180411082945.0 cr unu---uuuuu 180411e20131101xx s 000 0 eng 10.1007/s11748-013-0207-7 doi (NATIONALLICENCE)springer-10.1007/s11748-013-0207-7 Okada Yukikatsu Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojimaminamimachi, 650-0047, Chuo-ku Kobe, Japan aut Surgical management of mitral annular calcification [Elektronische Daten] [Yukikatsu Okada] Mitral annular calcification (MAC) is a fibrous, degenerative calcification of the mitral valve supporting ring and is common in elderly patients. Patients with MAC are older, more likely to be female, and more likely to have higher systolic blood pressure and clinical heart valve disease. MAC is also common among dialysis patients. The calcified annular bar poses demanding technical problems for the surgeon attempting mitral valve surgery in these high risk patients. In operation, MAC is a contributing factor in cardiac rupture at the atrial ventricular junction and rupture of the left ventricular free wall. Since we do not have simple and reproducible technical resolutions of mitral valve surgery in patients with MAC, mitral valve surgery in this condition is always challenging to prevent left ventricular rupture and periprosthetic leakage. This article reviews the history, details of relevant surgical techniques, and results of mitral valve surgery associated with MAC. The Japanese Association for Thoracic Surgery, 2013 Mitral annular calcification (MAC) nationallicence Mitral regurgitation nationallicence Mitral valve repair nationallicence Mitral valve replacement nationallicence Annulus reconstruction nationallicence General Thoracic and Cardiovascular Surgery Springer Japan 61/11(2013-11-01), 619-625 1863-6705 61:11<619 2013 61 11748 https://doi.org/10.1007/s11748-013-0207-7 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-013-0207-7 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Okada Yukikatsu Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojimaminamimachi, 650-0047, Chuo-ku Kobe, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/11(2013-11-01), 619-625 1863-6705 61:11<619 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer