Key result
Minimally invasive redo mitral and tricuspid valve surgery using hypothermic fibrillatory arrest without aortic cross-clamping was successfully performed without major complications.
Why the study?
Is a minimally invasive approach using hypothermic fibrillatory arrest without aortic cross-clamping safe and feasible for redo mitral valve replacement in a patient with severe periaortic adhesions?
Case Report (n=1)
No
Is a minimally invasive approach using hypothermic fibrillatory arrest without aortic cross-clamping safe and feasible for redo mitral valve replacement in a patient with severe periaortic adhesions?
The no-touch technique using hypothermic fibrillatory arrest is a feasible and safe alternative for redo minimally invasive cardiac valve surgery when aortic cross-clamping is impossible due to severe adhesions.
A 75-year-old woman who had previously undergone a double valve replacement was admitted to Asan Medical Center because of severe bioprosthetic mitral valve dysfunction and tricuspid regurgitation. Under hypothermic fibrillatory arrest without aortic cross-clamping, minimally invasive mitral and tricuspid valve surgery was performed via a right minithoracotomy.
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Kim et al. (2015) conducted a case report in Severe bioprosthetic mitral valve dysfunction and tricuspid regurgitation (n=1). Minimally invasive mitral and tricuspid valve surgery without aortic cross-clamping (no-touch technique) was evaluated on Postoperative recovery and complications. Minimally invasive redo mitral and tricuspid valve surgery using hypothermic fibrillatory arrest without aortic cross-clamping was successfully performed without major complications.
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