Abstract
The mitral valve and the mitral annulus can be considered a surgical trap by many uncommon surgical situations mainly in infective endocarditis, previous surgical intervention of the mitral valve, and/or calcification. All these scenarios can create a dangerous surgical Pathways and difficulties in replacing a prosthetic valve or annuloplasty ring. All mitral structural unit can be affected such as anterior or posterior mitral annulus, intervalvar fibrous body, sub-annular and Supra-annular tissues. This type of damage to the mitral valve can cause and lead to surgical challenges to any cardiac surgeons. We are presenting a case which reflects all these challenges clinically and surgically and our novel technique (modified anterior atrium sliding technique that we used to deal with it)
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