Beating Heart Mitral Valve Replacement Surgery without Aortic Cross-Clamping via Right Thoracotomy in a Patient with Compromised Left Ventricular Functions

Global myocardial ischemia and ischemia-reperfusion injury are potential adverse events related with cardioplegic arrest. Beating heart surgery has avoided such complications and adapted to valve surgery following successful results published on myocardial revascularization. Difficulty in weaning fr...

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Published inJournal of Tehran University Heart Center Vol. 10; no. 1; p. 43
Main Authors Durukan, Ahmet Baris, Gurbuz, Hasan Alper, Tavlasoglu, Murat, Ucar, Halil Ibrahim, Yorgancioglu, Cem
Format Journal Article
LanguageEnglish
Published Tehran Tehran University of Medical Sciences 2015
Subjects
Cardiology
Cardiomyopathy
Catheters
Coronary artery bypass
Coronary vessels
Embolisms
Heart
Heart surgery
Ischemia
Mortality
off-pump • Mitral valve insufficiency • Thoracotomy
Ostomy
Pulmonary arteries
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Summary:Global myocardial ischemia and ischemia-reperfusion injury are potential adverse events related with cardioplegic arrest. Beating heart surgery has avoided such complications and adapted to valve surgery following successful results published on myocardial revascularization. Difficulty in weaning from cardiopulmonary bypass may be lessened by using on-pump beating heart surgery for mitral valve interventions. Here we describe a 64-year-old male patient with severe mitral regurgitation and dilated cardiomyopathy. Beating heart mitral valve replacement surgery was performed without aortic cross-clamping through a right thoracotomy approach. We believe that, particularly in patients with poor leftventricular functions, beating heart mitral valve surgery may be advantageous.
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ISSN:1735-8620
2008-2371