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Mitral Value Replacement Using the Konsari Procedure: Unusual Two-Dimensional Echocardiography FindingsSeattle University-Stanford Echocardiography Laboratory, Palo Alto, California A 49-year-old woman with myxomatous mitral valve degeneration complicated by severe mitral regurgitation caused by endocarditis and left ventricular dilatation underwent successful mitral valve replacement using the Khonsari technique. Preoperative two-dimensional Doppler echocardiography showed severe mitral regurgitation, progressive left ventricular dilatation, left atrial enlargement, and marked calcification of the posterior anulus. Color-flow imaging revealed severe mitral regurgitation. Cardiac catheterization revealed normal coronary arteries. Postoperative findings detected by transthoracic two-dimensional and Doppler echocardiography are shown and a review of the procedure used in conjunction with mitral valve replacement is presented.
Key Words: chordal sparing Khonsari procedure mitral valve replacement
Journal of Diagnostic Medical Sonography, Vol. 11, No. 3,
137-140 (1995) |
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