Khalili, Ahmadali, Faravan, Amir, Parizad, Razieh (2022). Emergency operation of redo second and third mitral valve regurgitation in a patient with a history of the mitral valve prosthesis, coronary artery bypass graft surgery, and moderate aortic regurgitation: a case presentation. Shahid Sadoughi University of Medical Sciences- Journal Management System, 2(1), 1-5. doi: 10.18502/cbj.v1i2.10586
Ahmadali Khalili; Amir Faravan; Razieh Parizad. "Emergency operation of redo second and third mitral valve regurgitation in a patient with a history of the mitral valve prosthesis, coronary artery bypass graft surgery, and moderate aortic regurgitation: a case presentation". Shahid Sadoughi University of Medical Sciences- Journal Management System, 2, 1, 2022, 1-5. doi: 10.18502/cbj.v1i2.10586
Khalili, Ahmadali, Faravan, Amir, Parizad, Razieh (2022). 'Emergency operation of redo second and third mitral valve regurgitation in a patient with a history of the mitral valve prosthesis, coronary artery bypass graft surgery, and moderate aortic regurgitation: a case presentation', Shahid Sadoughi University of Medical Sciences- Journal Management System, 2(1), pp. 1-5. doi: 10.18502/cbj.v1i2.10586
Khalili, Ahmadali, Faravan, Amir, Parizad, Razieh Emergency operation of redo second and third mitral valve regurgitation in a patient with a history of the mitral valve prosthesis, coronary artery bypass graft surgery, and moderate aortic regurgitation: a case presentation. Shahid Sadoughi University of Medical Sciences- Journal Management System, 2022; 2(1): 1-5. doi: 10.18502/cbj.v1i2.10586

Emergency operation of redo second and third mitral valve regurgitation in a patient with a history of the mitral valve prosthesis, coronary artery bypass graft surgery, and moderate aortic regurgitation: a case presentation

Cardiovascular Biomedicine
Volume 2, Issue 1, September 2022, Pages 1-5    PDF (448.5 K)
Document Type: Case report
DOI: 10.18502/cbj.v1i2.10586
Authors
Ahmadali Khalili; Amir Faravan; Razieh Parizad*
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
Redo cardiac surgery is usually more complex than initial surgery and has a higher risk of mortality due to the risks associated with sternotomy.
Thoracotomy is a procedure through which easy access to the heart and valves is possible, taking less time. There is no need to release the adhesions of the previous operation. In addition, there is no possibility of heart rupture and unstable hemodynamics in the second CABG operation.
Safe peripheral Cardiopulmonary bypass (CPB) access and right thoracotomy are preferred in patients with unstable hemodynamics with a history of CABG and mitral valve replacement (MVR) surgery.
A 60 -year old man with a history of prosthetic MVR, CABG, and right-hand paresis due to cerebrovascular accident (CVA) was referred to Madani Hospital in Tabriz, Iran (2020). Transthoracic echocardiography (TTE) revealed signs of severe dysfunction of the prosthetic mitral valve (PMV). Whereas, on anticoagulation, a left ventricular ejection fraction (LVEF) was about 40%, and the patient had mild to moderate aortic regurgitation (AI). The patient underwent an emergency redo MVR operation using the thoracotomy techniques and coronary intervention (hybrid procedure). After two weeks, TTE showed a decreased mobility of one PMV leaflet, and the patient did not respond to full anticoagulation. Therefore, the third surgery was performed.
Keywords
Thoracotomy; Coronary artery bypass; Prosthetic valve malfunction; Reoperation
References
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