Mitral annular calcification in high-risk patients: to operate or not to operate
Ryaan EL-Andari, Maira Machhiwala, Sabin J. Bozso · 2026
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Description
Ryaan EL-Andari, Maira Machhiwala, and Sabin J Bozso weigh in 2026 whether high-risk patients with heavy calcium on the mitral valve ring should undergo surgery. Calcium there can disturb heart rhythm, invite infection, and force larger replacement valves. The commentary discusses a case of an 82-year-old whose failed catheter repair led to surgical replacement despite severe calcium and high risk.
Options range from removing calcium and rebuilding the ring to placing a catheter valve inside the calcium through open surgery. New ultrasound tools can dissolve hard calcium while sparing nearby tissue, easing suture placement. Each route carries serious risks such as tearing or bleeding. Careful patient selection and team judgment decide whether operating helps.
Catalog record
| CREATOR | Ryaan EL-Andari, Maira Machhiwala, Sabin J. Bozso |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 8 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |