Korean J Thorac Cardiovasc Surg.  2018 Aug;51(4):283-285. 10.5090/kjtcs.2018.51.4.283.

Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea., Korea. scalpel@hanmail.net

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.

Keyword

Minimally invasive surgical procedures; Mitral valve, replacement; Aortic cross-clamping; Reoperation; Stroke

MeSH Terms

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*
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