Minimally invasive cardiac surgery for a young woman with Marfan syndrome and mitral regurgitation

Kato, Hiroki; Ohtake, Hiroshi; Yamaguchi, Sumie; Yashiki, Noriyoshi; Yoshizumi, Ko; Takagi, Takeshi; Watanabe, Go

doi:10.1007/s11748-009-0576-0

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“…With this clinical information, we planned minimally invasive mitral valve repair to avoid a full sternotomy, considering the possibility of future aortic surgery, based on the site of peripheral cannulation, and repair over replacement of the mitral valve. Minimally invasive mitral valve surgery in patients with MFS has been reported to be feasible [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Mitral Valve Repair in a Woman with Marfan Syndrome and Type B Dissection

Lim

Lee

2018

Korean J Thorac Cardiovasc Surg

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We report the case of a patient with mitral regurgitation complicated by type B dissection and Marfan syndrome (MFS) who was managed successfully with minimally invasive mitral valve repair. Without type A aortic dissection or aortic root dilation, MFS patients may develop mitral valve regurgitation, as in this case, and need valve surgery to improve their symptoms and long-term survival. However, it is not clear that a full sternotomy and prophylactic aortic surgery are necessary. Although retrograde perfusion to the dissected aorta is controversial, our approach minimizes the risk of future anticipated aortic surgery in MFS patients.

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Section: Discussionmentioning

confidence: 99%