Beating heart mitral valve replacement in a patient with a previous Bentall operation

Today, mitral valve replacement is performed under cardioplegic arrest with cross-clamping of the ascending aorta. In the case reported here, mitral valve replacement was performed with an on-pump beating heart technique without cross-clamping the aorta because of diffuse adhesion around the tube gr...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2008-05, Vol.56 (5), p.226-228
Main Authors: Cicekcioglu, Ferit, Parlar, Ali Ihsan, Altinay, Levent, Hijazi, Alaa, Irdem, Ahmet Kuddusi, Katircioglu, Salih Fehmi
Format: Article
Language:English
Subjects:
Adult
Aneurysm, Dissecting - surgery
Aortic Aneurysm - surgery
Cardiac Surgery
Cardiac Surgical Procedures
Cardiology
Cardiopulmonary Bypass
Case Report
Heart Valve Prosthesis Implantation
Humans
Male
Medicine
Medicine & Public Health
Mitral Valve Insufficiency - surgery
Surgical Oncology
Thoracic Surgery
Treatment Outcome
Vascular Surgical Procedures
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Summary:Today, mitral valve replacement is performed under cardioplegic arrest with cross-clamping of the ascending aorta. In the case reported here, mitral valve replacement was performed with an on-pump beating heart technique without cross-clamping the aorta because of diffuse adhesion around the tube graft. A 36-year-old man had undergone a Bentall operation (aortic root replacement + coronary reimplantation) via median sternotomy because of type I aortic dissection 4 years previously in our cardiac center. He was admitted to the hospital complaining of palpitation and dyspnea on mild exertion. Transthoracic echocardiography study revealed third-degree mitral insufficiency. Mitral valve replacement was carried out through re-median sternotomy with an on-pump beating heart technique without crossclamping the aorta. On-pump beating heart mitral valve replacement without a cross-clamp offers a safe approach when excessive dissection is required to place a crossclamp on the ascending aorta.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-007-0225-4