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

Abstract

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.

An Endoscopic Solution to Mitral Regurgitation in a Complex Patient With Marfan Syndrome

“…11 However, some case studies have still utilized femoral cannulation in this condition if the femoral and iliac arteries are not dissected and are branching from the true lumen of the aorta. Axillary artery cannulation was mentioned as an alternative for femoral cannulation in case of unsuitable femoral arteries, 12 but in most cases that was due to small sized femoral vessels.…”