Key result
Robotic mitral valve replacement demonstrates feasibility in severe rheumatic mitral stenosis.
Case Report (n=1)
A clinical vignette describing the planned use of robotic mitral valve replacement for a 44-year-old woman with severe rheumatic mitral valve stenosis.
Robotic mitral valve replacement in rheumatic stenosis remains hypothesis-generating; prospective comparative trials are required before any practice consideration.
Clinical vignetteA 44-year-old woman presented with dyspnea on exertion.Her past medical history included rheumatic heart disease and she had been followed up for rheumatic mitral valve stenosis for the last 4 years.Her symptoms had worsened over the 3 months prior to her presentation.She was evaluated in the emergency department and electrocardiographic examination revealed atrial fibrillation.Sinus rhythm was achieved with medical treatment.A transthoracic echocardiogram revealed severe mitral valve stenosis (mitral valve area: 0.9 cm 2 , mean mitral valve gradient: 14 mmHg), left ventricular ejection fraction of 60%, left ventricular end diastolic dimension of 4.7 cm and pulmonary artery systolic pressure of 55 mmHg.Coronary angiography demonstrated no critical stenosis.She was referred for surgical management and robotic mitral valve replacement was planned.
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Şenay et al. (2017) conducted a case report in Rheumatic mitral valve disease (n=1). Robotic mitral valve replacement was evaluated on Procedural success and feasibility. Robotic mitral valve replacement was successfully performed in a 44-year-old woman with severe rheumatic mitral valve stenosis, demonstrating the feasibility of the technique.
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