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Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report

BACKGROUND: Mitral annular calcification (MAC) occurs represents a challenge to surgeons during mitral valve (MV) surgery with increased perioperative risk. CASE PRESENTATION: We describe a challenging case of an elderly female patient with multiple comorbidities who presented with symptoms and sign...

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Autores principales: Albacker, Turki B., Bakir, Bakir, Eldemerdash, Ahmed, Elshaer, Fayez, Albacker, Hanan, Alawami, Murtadha, Kashour, Tariq
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041179/
https://www.ncbi.nlm.nih.gov/pubmed/32093723
http://dx.doi.org/10.1186/s13019-020-1083-8
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author Albacker, Turki B.
Bakir, Bakir
Eldemerdash, Ahmed
Elshaer, Fayez
Albacker, Hanan
Alawami, Murtadha
Kashour, Tariq
author_facet Albacker, Turki B.
Bakir, Bakir
Eldemerdash, Ahmed
Elshaer, Fayez
Albacker, Hanan
Alawami, Murtadha
Kashour, Tariq
author_sort Albacker, Turki B.
collection PubMed
description BACKGROUND: Mitral annular calcification (MAC) occurs represents a challenge to surgeons during mitral valve (MV) surgery with increased perioperative risk. CASE PRESENTATION: We describe a challenging case of an elderly female patient with multiple comorbidities who presented with symptoms and signs of heart failure with a previous history of mechanical aortic valve replacement 15 years prior to presentation. Echocardiogram showed severe mitral stenosis and regurgitation with severe calcification of the mitral annulus. Given her high-risk profile and unavailability of suitable percutaneous therapeutic options we decided to replace her mitral valve with Sapien 3 valve under direct exposure. The case describes the technical details for the valve implantation and demonstrates the viability of this option in high risk surgical patients without the need for adjunct techniques like predilatation, additional supporting sutures or patches with a review of the literature on open surgical implantation of Sapien 3 valve. CONCLUSION: Direct open surgical implantation of Sapien 3 valve can be implanted safely in patients with severe MAC, without predilatation and without the use of other adjunctive techniques like fixation sutures or patches.
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spelling pubmed-70411792020-03-02 Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report Albacker, Turki B. Bakir, Bakir Eldemerdash, Ahmed Elshaer, Fayez Albacker, Hanan Alawami, Murtadha Kashour, Tariq J Cardiothorac Surg Case Report BACKGROUND: Mitral annular calcification (MAC) occurs represents a challenge to surgeons during mitral valve (MV) surgery with increased perioperative risk. CASE PRESENTATION: We describe a challenging case of an elderly female patient with multiple comorbidities who presented with symptoms and signs of heart failure with a previous history of mechanical aortic valve replacement 15 years prior to presentation. Echocardiogram showed severe mitral stenosis and regurgitation with severe calcification of the mitral annulus. Given her high-risk profile and unavailability of suitable percutaneous therapeutic options we decided to replace her mitral valve with Sapien 3 valve under direct exposure. The case describes the technical details for the valve implantation and demonstrates the viability of this option in high risk surgical patients without the need for adjunct techniques like predilatation, additional supporting sutures or patches with a review of the literature on open surgical implantation of Sapien 3 valve. CONCLUSION: Direct open surgical implantation of Sapien 3 valve can be implanted safely in patients with severe MAC, without predilatation and without the use of other adjunctive techniques like fixation sutures or patches. BioMed Central 2020-02-24 /pmc/articles/PMC7041179/ /pubmed/32093723 http://dx.doi.org/10.1186/s13019-020-1083-8 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Albacker, Turki B.
Bakir, Bakir
Eldemerdash, Ahmed
Elshaer, Fayez
Albacker, Hanan
Alawami, Murtadha
Kashour, Tariq
Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report
title Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report
title_full Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report
title_fullStr Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report
title_full_unstemmed Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report
title_short Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report
title_sort surgical mitral valve replacement using direct implantation of sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041179/
https://www.ncbi.nlm.nih.gov/pubmed/32093723
http://dx.doi.org/10.1186/s13019-020-1083-8
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