Key result
On-pump beating heart mitral valve replacement without cross-clamping the aorta was successfully performed in a patient with porcelain aorta to minimize risks of injury and embolic complications.
Case Report (n=1)
No
Beating heart mitral valve replacement under cardiopulmonary bypass without cross-clamping is a viable approach for patients with mitral valve disease and porcelain aorta to minimize embolic risks.
Feasible in select porcelain aorta cases; hypothesis-generating and requires prospective validation before wider use.
Conventionally, mitral valve replacement (MVR) is performed under cardioplegic arrest. A 69-years-old male patient was admitted to our clinic with severe dyspnea, orthopnea and palpitation. Transthoracic echocardiography revealed fibro-calcified mitral valve stenosis. Without cross-clamping the aorta, beating heart MVR under cardiopulmonary bypass (CPB) was performed. Since no dissection of the ascending aorta is performed, the risks of injury and embolic complications are minimized. Porcelain aorta with the mitral valve disease is a new indication for beating heart MVR under CPB.
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Kerem Yay (2012) conducted a case report in Fibro-calcified mitral valve stenosis and porcelain aorta (n=1). On-pump beating heart mitral valve replacement was evaluated. On-pump beating heart mitral valve replacement without cross-clamping the aorta was successfully performed in a patient with porcelain aorta to minimize risks of injury and embolic complications.
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