CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2021; 10(01): e15-e17
DOI: 10.1055/s-0040-1718774
Case Report: Cardiac

Awake Surgical Mitral Valve Repair after Transcatheter Aortic Valve Replacement

Aina Hirofuji
1   Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Hirotsugu Kanda
2   Department of Anesthesiology, Asahikawa Medical University, Asahikawa, Japan
,
Yuya Kitani
3   Department of Cardiology, Asahikawa Medical University, Asahikawa, Japan
,
Hiroyuki Kamiya
1   Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan
› Institutsangaben

Abstract

Transcatheter aortic valve replacement has become a popular choice for cases with severe aortic stenosis. However, when severe mitral regurgitation is comorbid in high-risk patients with severe aortic stenosis, therapeutic options must be weighed for each case. Here we present a very frail 88-year-old patient with severe aortic stenosis and severe mitral valve regurgitation who underwent a successful awake minimally invasive mitral valve repair after transcatheter aortic valve replacement.



Publikationsverlauf

Eingereicht: 30. Juni 2020

Angenommen: 21. August 2020

Artikel online veröffentlicht:
20. Januar 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Mueller XM, Tevaearai HT, Stumpe F. et al. Long-term results of mitral-aortic valve operations. J Thorac Cardiovasc Surg 1998; 115 (06) 1298-1309
  • 2 Mavromatis K, Thourani VH, Stebbins A. et al. T AVR in patients with AS and MR. Ann Thorac Surg 2017; 104: 1977-1986
  • 3 Sannino A, Grayburn PA. Mitral regurgitation in patients with severe aortic stenosis: diagnosis and management. Heart 2018; 104 (01) 16-22
  • 4 Kanda H, Kamiya H, Sugawara A. et al. Minimally invasive awake mitral valve surgery and cardiopulmonary bypass without general anesthesia. Ann Thorac Surg 2019; 107 (04) e247-e248