Transapical Mitral Valve Replacement for Mixed Native Mitral Stenosis and Regurgitation.

Bedzra, Edo; Don, Creighton W; Reisman, Mark; Aldea, Gabriel S · Ann Thorac Surg · 2016

case_report · Level V

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Abstract

A 71-year-old man presented with New York Heart Association (NYHA) class IV heart failure. He had undergone transapical mitral valve replacement for mixed mitral stenosis and mitral regurgitation. At the 1 month follow-up, the patient reported symptom resolution. An echocardiogram revealed a low gradient and no regurgitation. Our case shows that with careful multidisciplinary evaluation, preoperative planning, and patient selection, percutaneous mitral intervention can become an alternative therapy for high-risk patients who cannot undergo conventional surgical therapy.

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