Transapical Mitral Valve-in-Valve Replacement in Patient With Previous Complex Sternal Reconstruction.

MedStar author(s):
Citation: Innovations: Technology & Techniques in Cardiothoracic & Vascular Surgery. 11(3):222-4, 2016 May-JunPMID: 27526346Institution: MedStar Washington Hospital CenterDepartment: Surgery/General SurgeryForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Bioprosthesis/ae [Adverse Effects] | *Heart Valve Prosthesis Implantation/mt [Methods] | *Mitral Valve Insufficiency/su [Surgery] | Device Removal | Humans | Male | Middle Aged | Prosthesis Failure | Reoperation | Sternum/su [Surgery] | Treatment OutcomeYear: 2016Local holdings: Available online through MWHC library: Fall 2005 - presentISSN:
  • 1556-9845
Name of journal: Innovations (Philadelphia, Pa.)Abstract: We present a complex case of a transapical redo mitral valve-in-valve replacement. Repeat mitral valve replacement was indicated for severe symptomatic bioprosthetic stenosis. In addition to the patient's numerous comorbidities that included diabetes, hepatic cirrhosis, ischemic cardiomyopathy, and atrial flutter, he had undergone a previous open mitral valve replacement that was complicated by sternal dehiscence requiring extensive chest wall reconstruction. Transapical approach was performed through left minithoracotomy incision with balloon-expandable valve. Transapical valve-in-valve replacement of a stenotic mitral bioprosthesis is a viable solution in a patient with previous complex chest wall reconstruction and multiple comorbidities.All authors: Fatemi O, Hynes CF, Nagy CD, Sharma AC, Trachiotis GDFiscal year: 2016Digital Object Identifier: Date added to catalog: 2017-06-13
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Journal Article MedStar Authors Catalog Article 27526346 Available 27526346

Available online through MWHC library: Fall 2005 - present

We present a complex case of a transapical redo mitral valve-in-valve replacement. Repeat mitral valve replacement was indicated for severe symptomatic bioprosthetic stenosis. In addition to the patient's numerous comorbidities that included diabetes, hepatic cirrhosis, ischemic cardiomyopathy, and atrial flutter, he had undergone a previous open mitral valve replacement that was complicated by sternal dehiscence requiring extensive chest wall reconstruction. Transapical approach was performed through left minithoracotomy incision with balloon-expandable valve. Transapical valve-in-valve replacement of a stenotic mitral bioprosthesis is a viable solution in a patient with previous complex chest wall reconstruction and multiple comorbidities.

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