Key result
Hybrid PCI followed by MIMVS successfully treats severe MR in a high-risk patient.
Case Report (n=1)
A hybrid approach of PCI followed by minimally invasive mitral valve surgery can be successfully utilized in highly complex patients requiring reoperative valve surgery.
May support hybrid PCI-MIS mitral repair in select high-risk reoperative cases; hypothesis-generating and requires prospective validation.
We report a complex case of peripheral vascular disease (PVD), coronary artery disease (CAD), and three prosthetic heart valves, who developed severe mitral regurgitation (MR) due to healed endocarditis. She was successfully managed with a hybrid approach utilizing percutaneous coronary intervention (PCI) followed by minimally invasive mitral valve surgery (MIMVS) through right minithoracotomy. This was the patient's fifth cardiac surgery and she was discharged home on the fourth postoperative day (POD).
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Masroor et al. (2009) conducted a case report in Severe mitral regurgitation due to healed endocarditis with PVD, CAD, and three prosthetic heart valves (n=1). Hybrid percutaneous coronary intervention (PCI) and minimally invasive mitral valve surgery (MIMVS) was evaluated. A hybrid approach of PCI followed by minimally invasive mitral valve surgery successfully treated severe mitral regurgitation in a high-risk patient, leading to discharge on postoperative day 4.
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