Transapical Mitral Valve Replacement for Mixed Native Mitral Stenosis and Regurgitation

Ann Thorac Surg. 2016 Aug;102(2):e97-9. doi: 10.1016/j.athoracsur.2015.12.042.

Abstract

A 71-year-old man presented with New York Heart Association (NYHA) class IV heart failure. He had undergone transapical mitral valve replacement for mixed mitral stenosis and mitral regurgitation. At the 1 month follow-up, the patient reported symptom resolution. An echocardiogram revealed a low gradient and no regurgitation. Our case shows that with careful multidisciplinary evaluation, preoperative planning, and patient selection, percutaneous mitral intervention can become an alternative therapy for high-risk patients who cannot undergo conventional surgical therapy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty / methods*
  • Bioprosthesis*
  • Cardiac Catheterization / methods
  • Cardiopulmonary Bypass / methods
  • Echocardiography, Doppler
  • Follow-Up Studies
  • Heart Failure / diagnosis
  • Heart Failure / etiology
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Mitral Valve Insufficiency / complications
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / surgery*
  • Mitral Valve Stenosis / complications
  • Mitral Valve Stenosis / diagnostic imaging
  • Mitral Valve Stenosis / surgery*
  • Prosthesis Design
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome