Contraindications for reparative surgery

  • Choi-Keung Ng


In the hospital at Wels, an average of 5% of patients with severe mitral insufficiency receive valve replacement due to contraindications for repair based on valve pathology, e.g. panvalvular fibrosis, calcifications in both commissures or calcification of more than 1/3 of the annulus, calcification of the anterior leaflet with spiderlike stiffening of the chordae tendinae, multiple infectious destruction of the subvalvular apparatus and rupture of chordae in both papillary muscles. These patients are unsuitable for repair [5], [9], [11] (Figs. 35A.1 and 35A.2).


Public Health Cardiac Surgery Valve Replacement Papillary Muscle White Arrow 
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Copyright information

© Springer-Verlag Wien 2003

Authors and Affiliations

  • Choi-Keung Ng
    • 1
  1. 1.Department of Cardiovascular and Thoracic Surgery, Academic Teaching HospitalGeneral Hospital of the Sisters of Mercy of the Holy CrossWelsAustria

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