A Clean Cut: Minimally Invasive Mitral Valve Replacement after Heart TransplantationFunding No funding was obtained for this article.
21 March 2019
30 May 2019
21 August 2019 (online)
A 50-year-old female presented with progressive heart failure due to obstruction of the mitral valve after heart transplantation in 2008. Through the occlusion catheter (IntraClude Intra-Aortic Occlusion Device), aortic cross-clamping, antegrade cardioplegia, and aortic root venting were performed.
Our case reports the first published study on minimally invasive mitral valve replacement for valve stenosis through intraluminal aortic clamping. The hazard of traumatic injuries can be reduced by avoiding resternotomy and circumventing adhesions between the aorta and the pulmonary artery after heart transplantation. Minimally invasive valve surgery is a safe and effective method with regard to short- and long-term results, especially in redo operations.
- 1 Lund LH, Khush KK, Cherikh WS. , et al; International Society for Heart and Lung Transplantation. The Registry of the International Society for Heart and Lung Transplantation: Thirty-fourth Adult Heart Transplantation Report-2017; Focus Theme: Allograft ischemic time. J Heart Lung Transplant 2017; 36 (10) 1037-1046
- 2 Wigfield CH, Lewis A, Parry G, Dark JH. Mitral valve dysfunction and repair following orthotopic heart transplantation: a case report. Transplant Proc 2008; 40 (05) 1796-1797
- 3 Goekler J, Zuckermann A, Osorio E. , et al. cardiac surgery after heart transplantation: elective operation or last exit strategy?. Transplant Direct 2017; 3 (10) e209
- 4 Goerler H, Simon A, Warnecke G. , et al. Cardiac surgery late after heart transplantation: a safe and effective treatment option. J Thorac Cardiovasc Surg 2010; 140 (02) 433-439
- 5 Holmes TR, Jansz PC, Spratt P. , et al. Cardiac surgery is successful in heart transplant recipients. Heart Lung Circ 2014; 23 (08) 703-710
- 6 Marullo AG, Irace FG, Vitulli P. , et al. Recent developments in minimally invasive cardiac surgery: evolution or revolution?. BioMed Res Int 2015; 2015: 483025
- 7 Pasca I, Dang P, Tyagi G, Pai RG. Survival in patients with degenerative mitral stenosis: results from a large retrospective cohort study. J Am Soc Echocardiogr 2016; 29 (05) 461-469
- 8 Weissler-Snir A, Weisenberg D, Natanzon S. , et al. Clinical and echocardiographic features of mitral annular calcium in patients aged ≤50 years. Am J Cardiol 2015; 116 (09) 1447-1450