Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts.
10.5090/kjtcs.2018.51.4.283
- Author:
Seung Hyun KIM
1
;
Hak Ju KIM
;
Ho Young HWANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea., Korea. scalpel@hanmail.net
- Publication Type:Case Report
- Keywords:
Minimally invasive surgical procedures;
Mitral valve, replacement;
Aortic cross-clamping;
Reoperation;
Stroke
- MeSH:
Aged;
Aorta*;
Axillary Artery;
Catheterization;
Coronary Artery Bypass;
Dyspnea;
Female;
Femoral Artery;
Humans;
Minimally Invasive Surgical Procedures;
Mitral Valve*;
Prostheses and Implants;
Reoperation;
Sternotomy;
Stroke;
Thoracotomy;
Transplants*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2018;51(4):283-285
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 73-year-old woman who underwent combined bioprosthetic mitral valve replacement, tricuspid ring annuloplasty, and coronary artery bypass grafting 12 years previously visited our clinic due to aggravated dyspnea caused by structural valve deterioration of the mitral prosthesis. Because aortic or femoral artery cannulation and cross-clamping would have a high risk of stroke owing to severe calcification of the ascending aorta and ilio-femoral vessels, and because there was a risk of redo sternotomy due to the patent bypass grafts, a comprehensive approach including axillary artery cannulation, a minimally invasive right thoracotomy approach, and a clampless hypothermic fibrillatory arrest technique was used during redo mitral valve replacement.
