Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts
A 73-year-old woman who underwent combined bioprosthetic mitral valve replacement, tricuspid ring annulo-plasty, 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 f...
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Korean Society for Thoracic and Cardiovascular Surgery
2018-08-01
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Online Access: | https://doi.org/10.5090/kjtcs.2018.51.4.283 |
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doaj-6be0f399c4e54a2a91582708a1673ba72020-11-24T23:11:08ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2018-08-0151428328510.5090/kjtcs.2018.51.4.283kjtcs.2018.51.4.283Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass GraftsSeung Hyun Kim0Hak Ju Kim1Ho Young Hwang2Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of MedicineA 73-year-old woman who underwent combined bioprosthetic mitral valve replacement, tricuspid ring annulo-plasty, 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.https://doi.org/10.5090/kjtcs.2018.51.4.283Minimally invasive surgical proceduresMitral valve, replacementAortic cross-clampingReoperationStroke |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Seung Hyun Kim Hak Ju Kim Ho Young Hwang |
spellingShingle |
Seung Hyun Kim Hak Ju Kim Ho Young Hwang Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts Korean Journal of Thoracic and Cardiovascular Surgery Minimally invasive surgical procedures Mitral valve, replacement Aortic cross-clamping Reoperation Stroke |
author_facet |
Seung Hyun Kim Hak Ju Kim Ho Young Hwang |
author_sort |
Seung Hyun Kim |
title |
Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts |
title_short |
Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts |
title_full |
Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts |
title_fullStr |
Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts |
title_full_unstemmed |
Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts |
title_sort |
minimally invasive redo mitral valve replacement under fibrillatory arrest in a patient with a calcified aorta and patent previous bypass grafts |
publisher |
Korean Society for Thoracic and Cardiovascular Surgery |
series |
Korean Journal of Thoracic and Cardiovascular Surgery |
issn |
2233-601X |
publishDate |
2018-08-01 |
description |
A 73-year-old woman who underwent combined bioprosthetic mitral valve replacement, tricuspid ring annulo-plasty, 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. |
topic |
Minimally invasive surgical procedures Mitral valve, replacement Aortic cross-clamping Reoperation Stroke |
url |
https://doi.org/10.5090/kjtcs.2018.51.4.283 |
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