Transapical Mitral Valve Replacement for Mixed Native Mitral Stenosis and Regurgitation

• Published in: The Annals of thoracic surgery Vol. 102; no. 2; pp. e97 - e99
• Main Authors: Bedzra, Edo, MD, MBA, Don, Creighton W., MD, Reisman, Mark, MD, Aldea, Gabriel S., MD
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.08.2016
• Subjects: Aged; Angioplasty - methods; Bioprosthesis; Cardiac Catheterization - methods; Cardiopulmonary Bypass - methods; Cardiothoracic Surgery; Echocardiography, Doppler; Follow-Up Studies; Heart Failure - diagnosis; Heart Failure - etiology; Heart Valve Prosthesis Implantation - methods; Humans; Male; Mitral Valve Insufficiency - complications; Mitral Valve Insufficiency - diagnostic imaging; Mitral Valve Insufficiency - surgery; Mitral Valve Stenosis - complications; Mitral Valve Stenosis - diagnostic imaging; Mitral Valve Stenosis - surgery; Prosthesis Design; Risk Assessment; Severity of Illness Index; Surgery; Treatment Outcome
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2015.12.042

A 71-year-old man presented with New York Heart Association (NYHA) class IV heart failure. He had undergone transapical mitral valve replacement for mixed mitral stenosis and mitral regurgitation. At the 1 month follow-up, the patient reported symptom resolution. An echocardiogram revealed a low gradient and no regurgitation. Our case shows that with careful multidisciplinary evaluation, preoperative planning, and patient selection, percutaneous mitral intervention can become an alternative therapy for high-risk patients who cannot undergo conventional surgical therapy.