An Endoscopic Solution to Mitral Regurgitation in a Complex Patient With Marfan Syndrome
| Autor: | Joseph Zacharias, Abdelrahman Abdelbar, Andrew Knowles, Bangalore Thimmapa Sanjeev Kumar |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Reoperation
Pulmonary and Respiratory Medicine Marfan syndrome medicine.medical_specialty Computed Tomography Angiography medicine.medical_treatment Marfan Syndrome law.invention Axillary artery law medicine.artery Catheterization Peripheral Ascending aorta medicine Cardiopulmonary bypass Humans cardiovascular diseases Aorta Aged Aortic dissection Mitral regurgitation Cardiopulmonary Bypass business.industry Mitral valve replacement Mitral Valve Insufficiency Endoscopy General Medicine medicine.disease Surgery Cardiac surgery Aortic Dissection Treatment Outcome Replantation cardiovascular system Axillary Artery Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery. 14:569-572 |
| ISSN: | 1559-0879 1556-9845 |
| Popis: | Cardiac presentations of Marfan syndrome are not uncommon. Patients with Marfan syndrome can present with aortic pathology, valvular pathology, or both. Hence, Marfan syndrome patients can undergo more than one cardiac surgery in their lifetime. Endoscopic mitral valve surgery can be a good alternative to redo sternotomy. We present a case of a 77-year-old woman who had an aortic root replacement and replacement of the ascending aorta. She presented to our center 13 years later with severe mitral regurgitation. Femoral cannulation for cardiopulmonary bypass was not possible due to the presence of a type B aortic dissection that occurred sometime after the initial procedure. Mitral valve replacement was performed with an empty beating heart using axillary artery inflow with an excellent result. |
| Databáze: | OpenAIRE |
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