Key result
Beating heart mitral valve redo surgery via right thoracotomy was successfully performed in a patient with a stuck mitral valve and low ejection fraction, resulting in uncomplicated discharge on the 10th postoperative day.
Why the study?
Mitral valve redo surgery carries high risk in patients with low ejection fraction, requiring specialized perfusion management for beating heart surgery via right thoracotomy.
Case Report (n=1)
No
Beating heart redo mitral valve surgery via right thoracotomy is a feasible and successful approach for high-risk patients with low ejection fraction and a stuck mitral valve, provided there is no aortic insufficiency.
Answers are grounded in this paper and cite their sources.
May support beating-heart redo mitral surgery in select low-EF cases; leaves open safety and efficacy versus conventional approaches.
Mitral valve redo surgery is a high-risk intervention in particularly patients with low ejection fraction. In these cases, if the absence of aortic insufficiency is documented, beating heart surgery is possible via right thoracotomy in the Trendelenburg position. However, venous drainage, cardiopulmonary bypass temperature, electrolyte balance, and cerebral monitorization are the key considerations for the perfusionist. Herein, we discuss the perfusion standards of mitral valve redo surgery in a patient with low ejection fraction and a stuck mitral valve.
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Hüseyin Gümüş (2022) conducted a case report in Stuck mitral valve and low ejection fraction (n=1). Beating heart mitral valve redo surgery via right thoracotomy was evaluated on Surgical outcome. Beating heart mitral valve redo surgery via right thoracotomy was successfully performed in a patient with a stuck mitral valve and low ejection fraction, resulting in uncomplicated discharge on the 10th postoperative day.
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