Key result
Beating heart aortic and mitral valve replacement via superior biatrial septotomy succeeds in low LVEF.
Case Report (n=1)
Beating heart aortic and mitral valve replacement through a superior biatrial septotomy is a feasible surgical approach for patients with severe ventricular dysfunction to avoid prolonged cardioplegic arrest.
Answers are grounded in this paper and cite their sources.
Feasible in one high-risk low-LVEF case; leaves open whether this approach improves outcomes versus cardioplegic arrest.
Time-consuming and complex cardiac surgery remains a challenge in patients with impaired ventricular function and consequently necessary prolonged cardioplegic arrest may jeopardize a fragile myocardial status. The case is reported of a 63-year-old male patient with low left ventricular ejection fraction (LVEF) and history of refractory cardiac failure who successfully underwent a beating heart aortic and mitral valve replacement through a superior biatrial septotomy. Technical considerations and advantages related to this specific surgical access combined with a beating heart approach are discussed.
No takes yet. Share an insight, caveat, or question.
Derouck et al. (2007) conducted a case report in Refractory cardiac failure with low LVEF (n=1). Beating heart aortic and mitral valve replacement through a superior biatrial septotomy was evaluated on Successful surgery. A beating heart aortic and mitral valve replacement through a superior biatrial septotomy was successfully performed in a 63-year-old male with low LVEF and refractory cardiac failure.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: