Commentary: Don't go breaking my (any) heart

[摘要] The 1976 Elton John and Kiki Dee duet “Don't Go Breaking My Heart,”1 which was Elton John's first number one hit on both the American and British music charts, is an apt reminder when performing mitral valve replacement in patients with mitral annular calcification (MAC). MAC is defined as heavy calcification of at least the posterior annulus of the mitral valve, and often the entire annulus. Mitral valve replacement for MAC has been complicated by atrial–ventricular disruption, ventricular peroration, and significant 30-day mortality.

[学科分类] 心脏病和心血管学