Mitral valve surgery in the presence of mitral annulus calcification presents as a technical challenge and the mitral valve repair is even more challenging. Consequently, a modified surgical strategy with limited or even without annular decalcification may be chosen. We report two successful mitral valve repair in a severe mitral valve regurgitation associated to annular calcification using the “Double-Teflon” Technique, a mitral valve repair without anuloplasty prosthetic rings.
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