Case report highlights surgical success using deep hypothermic circulatory arrest for mitral valve repair failure in a patient with a porcelain aorta, indicating new possibilities for high-risk surgeries.
We report the case of a surgical treatment after transcatheter edge-to-edge mitral valve repair failure in a 79-year-old patient who had undergone cardiac surgery 30 years earlier. The transcatheter procedure of mitral valve got complicated by single leaflet device attachment leading to recurrent severe regurgitation. Despite the extremely high surgical risk and a porcelain aorta, we deemed the patient operable thanks to his performant physical and cognitive status. He underwent mitral valve replacement with a bioprosthesis in deep hypothermic circulatory arrest and retrograde cerebral perfusion. The postoperative course was regular, and he is in good functional class at one-year follow-up.
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Conserva et al. (2025) studied this question.
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