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Eur J Cardiothorac Surg 2004;26:837-838
© 2004 Elsevier Science NL

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Mitral valve replacement after application of atrial appendix flap in endocarditis with posterior annular abscess

Rza Turkoz^a, Oner Gulcan^a,*, Emrah Uguz^a, Hasan Berat Cihan^b

^a Department of Cardiovascular Surgery, Baskent Universitesi, Adana, Turkey
^b Department of Cardiovascular Surgery, Inonu University, Malatya, Turkey

Received 18 April 2004; received in revised form 26 June 2004; accepted 13 July 2004.

^* Corresponding author. Tp Fakültesi, Adana Uygulama ve Arastrma Hastanesi, Dadalolu mah. 39 sok. No: 6, PK: 01250 Adana, Turkey. Fax:+90-322-327-1273. (E-mail: drgulcan{at}yahoo.com).

In patients with acute bacterial endocarditis and annular abscess formation, cardiac valve replacement is associated with high perioperative mortality and morbidity. We present two patients who had had infective endocarditis and annular abscess formation in the mural leaflet region. Before replacing the mitral valve, we covered the atrium and annulus with a flap of evaginated left atrial appendix.