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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2019; 08(01): e27-e29
DOI: 10.1055/s-0039-1693451
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

A Clean Cut: Minimally Invasive Mitral Valve Replacement after Heart Transplantation

Jamila Kremer 
1   Department of Cardiac Surgery, Universitatsklinikum Heidelberg Chirurgische Klinik, Heidelberg, Germany
,
Sameer Saeed Ahmed Al-Maisary
1   Department of Cardiac Surgery, Universitatsklinikum Heidelberg Chirurgische Klinik, Heidelberg, Germany
,
Gábor Szabó
1   Department of Cardiac Surgery, Universitatsklinikum Heidelberg Chirurgische Klinik, Heidelberg, Germany
› Author Affiliations Funding No funding was obtained for this article.
Further Information

Publication History

21 March 2019

30 May 2019

Publication Date:
21 August 2019 (online)

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Abstract

A 50-year-old female presented with progressive heart failure due to obstruction of the mitral valve after heart transplantation in 2008. Through the occlusion catheter (IntraClude Intra-Aortic Occlusion Device), aortic cross-clamping, antegrade cardioplegia, and aortic root venting were performed.

Our case reports the first published study on minimally invasive mitral valve replacement for valve stenosis through intraluminal aortic clamping. The hazard of traumatic injuries can be reduced by avoiding resternotomy and circumventing adhesions between the aorta and the pulmonary artery after heart transplantation. Minimally invasive valve surgery is a safe and effective method with regard to short- and long-term results, especially in redo operations.

Keywords

heart transplantation - heart valve surgery - minimally invasive surgery; includes port access minithoracotomy - reoperation
 

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