Minimally Invasive Surgical Valve-in-Ring
Victor H. Sainz Escarrega, MD, Benigno Ferreira Piña, Carlos A. Jimenez Fernandez, MD, Alejandro Molina Romo, MD, Hector R. Diaz Garcia, MD, Francisco J A gutierrez lopez, MD, Oscar S. Lomeli Sanchez, MD, MSc, Fausto E. Barerra Gomez, MD, Anna G. Everding Rodríguez, MD, Luis E. Higuera Medina, MD, Jose L. Oliveros Garcia, MD.
Instituto Cardiovascular de Minima Invasion, Zapopan, Mexico.
BACKGROUND: In cases with previous surgical repair of the mitral valve, the complete removal of a mitral annuloplasty ring may be a dangerous maneuver. Surgically implanted rings can be extensively covered in neoendocardium and calcium, explantation can irreparably damage the heart or create severe postoperative complications such as rupture of the atrioventricular groove, particularly in fragile elderly patients. We describe an 85-year-old male patient referred to our surgical team for dyspnea and worsening functional status, with a history of mitral valve repair 15 years before
METHODS: An 85-year-old male patient with a history of surgical repair of the mitral valve through median sternotomy 15 years before and neurological sequelae of a previous episode of Guillain-Barre syndrome, presented to the outpatient clinic with a recent history of dyspnea and worsening functional status, he was thoroughly evaluated and was deemed candidate for surgical replacement of the mitral valve through a minimally invasive technique.
RESULTS: The patient underwent an uneventful postoperative period, and although he developed an episode of pneumonia was able to walk and do physical rehabilitation. Was discharged on postop day 10, continues treatment on follow-up clinic 1 month after.
CONCLUSIONS: We successfully replaced a mitral valve using a valve-in-ring technique, to our knowledge this has not been described before but it is a safe technique with satisfactory hemodynamic performance, which may reduce surgical times and possible postoperative complications. 
Back to 2023 ePosters