Transapical mitral valve-in-valve procedure with elective venoarterial ECMO in a patient with severe kyphoscoliosis.
Ilaria FranzeseVera CeteraGabriele PesariniFrancesco OnoratiFlavio Luciano RibichiniGiuseppe FaggianAldo D MilanoPublished in: Journal of cardiac surgery (2020)
Transcatheter mitral valve-in-valve replacement (TMVR) is a feasible alternative in high-risk patients requiring reoperation for failing mitral bioprosthesis. Such patients may present with hemodynamic instability or sudden complications, which may jeopardize the outcomes. We report a successful transapical TMVR in a patient, with severe kyphoscoliosis and on prolonged mechanical ventilation, with prophylactic extracorporeal membrane oxygenator support. This combined procedure may be helpful to reduce the complications of TMVR in critically ill subjects.
Keyphrases
- mitral valve
- left atrial
- end stage renal disease
- mechanical ventilation
- ejection fraction
- left ventricular
- newly diagnosed
- acute respiratory distress syndrome
- prognostic factors
- aortic stenosis
- peritoneal dialysis
- risk factors
- case report
- heart failure
- minimally invasive
- early onset
- patients undergoing
- transcatheter aortic valve replacement
- atrial fibrillation