Abstract
Today, mitral valve replacement is performed under cardioplegic arrest with cross-clamping of the ascending aorta. In the case reported here, mitral valve replacement was performed with an on-pump beating heart technique without cross-clamping the aorta because of diffuse adhesion around the tube graft. A 36-year-old man had undergone a Bentall operation (aortic root replacement + coronary reimplantation) via median sternotomy because of type I aortic dissection 4 years previously in our cardiac center. He was admitted to the hospital complaining of palpitation and dyspnea on mild exertion. Transthoracic echocardiography study revealed third-degree mitral insufficiency. Mitral valve replacement was carried out through re-median sternotomy with an on-pump beating heart technique without crossclamping the aorta. On-pump beating heart mitral valve replacement without a cross-clamp offers a safe approach when excessive dissection is required to place a crossclamp on the ascending aorta.
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References
Thompson MJ, Behranwala A, Campanella C, Walker WS, Cameron EWJ. Immediate and long-term results of mitral prosthetic replacement using a right thoracotomy beating heart technique. Eur J Cardiothorac Surg 2003;24:47–51.
Cicekcioglu F, Tutun U, Parlar AI, Aksoyek A, Babaroglu S, Katircioglu SF. Mitral valve replacement on a beating heart through right thoracotomy in a patient with patent coronary grafts. Anadolu Kardiyol Derg 2007;7:247–248.
Antunes MJ. Techniques of valvular re-operation. Eur J Cardiothorac Surg 1992;6:554–558.
Hannan EL, Kilburn H Jr. O’Donnell JF, Lukacik G, Shields EP. Adult open heart surgery in New York State: an analysis of risk factors and hospital mortality rates. JAMA 1990;264:2768–2774.
Praeger PI, Pootey RW, Moggio A, Somberg ED, Sarabu MR, Reed GE. Simplified method for re-operation on the mitral valve. Ann Thorac Surg 1989;48:835–837.
Cicekcioglu F, Tutun U, Babaroglu S, Aksoyek A, Tosya A, Tuncel C, et al. Beating heart mitral valve replacement with retrograde coronary sinus perfusion technique. J Cardiovasc Surg (Torino) 2006;47:575–579.
Cicekcioglu F, Tutun U, Babaroglu S, Mungan U, Parlar AI, Demirtas E, et al. Redo valve surgery with on-pump beating heart technique. J Cardiovasc Surg (Torino) 2007;48:513–518.
Cicekcioglu F, Tutun U, Babaroglu S, Aksoyek A, Parlar AI, Mungan U, et al. Aortic valve replacement with on-pump beating heart technique. J Card Surg 2007;22:211–214.
Katircioglu SF, Cicekcioglu F, Parlar AI, Tutun U, Mungan U, Aksoyek A. A new technique of myocardial protection during aortic root replacement: antegrade/retrograde coronary perfusion. Thorac Cardiovasc Surg 2007;55:259–261.
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Cicekcioglu, F., Parlar, A.I., Altinay, L. et al. Beating heart mitral valve replacement in a patient with a previous Bentall operation. Gen Thorac Cardiovasc Surg 56, 226–228 (2008). https://doi.org/10.1007/s11748-007-0225-4
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DOI: https://doi.org/10.1007/s11748-007-0225-4