Minimally Invasive Mitral Valve Repair in a Woman with Marfan Syndrome and Type B Dissection
10.5090/kjtcs.2018.51.1.61
- Author:
Mi Hee LIM
1
;
Hyung Gon JE
;
Sang Kwon LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Medical Research Institute of Pusan National University, Korea. jehg7332@gmail.com
- Publication Type:Case Report
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2018;51(1):61-63
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the case of a patient with mitral regurgitation complicated by type B dissection and Marfan syndrome (MFS) who was managed successfully with minimally invasive mitral valve repair. Without type A aortic dissection or aortic root dilation, MFS patients may develop mitral valve regurgitation, as in this case, and need valve surgery to improve their symptoms and long-term survival. However, it is not clear that a full sternotomy and prophylactic aortic surgery are necessary. Although retrograde perfusion to the dissected aorta is controversial, our approach minimizes the risk of future anticipated aortic surgery in MFS patients.
