Minimally invasive mitral valve repair via right mini-thoracotomy in patient with myelodysplastic syndrome
Abstract Background Cardiac surgery for myelodysplastic syndrome (MDS) patients is challenging because anemia and neutropenia develop as a result of the syndrome, leading to infection and bleeding tendency during surgery. We report the case of minimally invasive mitral valve repair via a right mini-...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-018-0730-9 |
| _version_ | 1818302058452746240 |
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| author | Takura Taguchi Hiroyuki Nishi Kimihiro Kurose Kohei Horikawa Go Kanazawa Toshiki Takahashi |
| author_facet | Takura Taguchi Hiroyuki Nishi Kimihiro Kurose Kohei Horikawa Go Kanazawa Toshiki Takahashi |
| author_sort | Takura Taguchi |
| collection | DOAJ |
| description | Abstract Background Cardiac surgery for myelodysplastic syndrome (MDS) patients is challenging because anemia and neutropenia develop as a result of the syndrome, leading to infection and bleeding tendency during surgery. We report the case of minimally invasive mitral valve repair via a right mini-thoracotomy and perioperative use of granulocyte colony-stimulating factor (G-CSF) in a patient with MDS. Case presentation A 77-year-old man with myelodysplastic syndrome (MDS) was referred for surgical treatment for mitral valve regurgitation and underwent a minimally invasive mitral valve repair via a right mini-thoracotomy (MICS mitral procedure). On admission, laboratory results showed a leukocyte count of 1500/μL and neutrophils at 190/μL. Prior to surgery, a subcutaneous injection of granulocyte colony-stimulating factor (G-CSF) was given, based on a diagnosis of MDS by a hematologist. The MICS-mitral procedure using artificial chordae and an annular ring prosthesis was completed without requiring re-exploration for bleeding. Postoperatively, a G-CSF injection was administered and transfusion was required. There was no infection complication and the postoperative course was uneventful. Conclusion A MICS-mitral procedure may be an effective option for MR patients with MDS who require a mitral valve repair to avoid postoperative infection and reduce the incidence of perioperative transfusion. |
| first_indexed | 2024-12-13T05:32:52Z |
| format | Article |
| id | doaj.art-9c7439948ce7470c9505dc5d5521e1bb |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-13T05:32:52Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-9c7439948ce7470c9505dc5d5521e1bb2022-12-21T23:58:01ZengBMCJournal of Cardiothoracic Surgery1749-80902018-05-011311510.1186/s13019-018-0730-9Minimally invasive mitral valve repair via right mini-thoracotomy in patient with myelodysplastic syndromeTakura Taguchi0Hiroyuki Nishi1Kimihiro Kurose2Kohei Horikawa3Go Kanazawa4Toshiki Takahashi5Department of Cardiovascular Surgery, Osaka Police HospitalDepartment of Cardiovascular Surgery, Osaka Police HospitalDepartment of Cardiovascular Surgery, Osaka Police HospitalDepartment of Cardiovascular Surgery, Osaka Police HospitalDepartment of Cardiovascular Surgery, Osaka Police HospitalDepartment of Cardiovascular Surgery, Osaka Police HospitalAbstract Background Cardiac surgery for myelodysplastic syndrome (MDS) patients is challenging because anemia and neutropenia develop as a result of the syndrome, leading to infection and bleeding tendency during surgery. We report the case of minimally invasive mitral valve repair via a right mini-thoracotomy and perioperative use of granulocyte colony-stimulating factor (G-CSF) in a patient with MDS. Case presentation A 77-year-old man with myelodysplastic syndrome (MDS) was referred for surgical treatment for mitral valve regurgitation and underwent a minimally invasive mitral valve repair via a right mini-thoracotomy (MICS mitral procedure). On admission, laboratory results showed a leukocyte count of 1500/μL and neutrophils at 190/μL. Prior to surgery, a subcutaneous injection of granulocyte colony-stimulating factor (G-CSF) was given, based on a diagnosis of MDS by a hematologist. The MICS-mitral procedure using artificial chordae and an annular ring prosthesis was completed without requiring re-exploration for bleeding. Postoperatively, a G-CSF injection was administered and transfusion was required. There was no infection complication and the postoperative course was uneventful. Conclusion A MICS-mitral procedure may be an effective option for MR patients with MDS who require a mitral valve repair to avoid postoperative infection and reduce the incidence of perioperative transfusion.http://link.springer.com/article/10.1186/s13019-018-0730-9Myelodysplastic syndromeMinimally invasive mitral valve repairRight mini-thoracotomy |
| spellingShingle | Takura Taguchi Hiroyuki Nishi Kimihiro Kurose Kohei Horikawa Go Kanazawa Toshiki Takahashi Minimally invasive mitral valve repair via right mini-thoracotomy in patient with myelodysplastic syndrome Journal of Cardiothoracic Surgery Myelodysplastic syndrome Minimally invasive mitral valve repair Right mini-thoracotomy |
| title | Minimally invasive mitral valve repair via right mini-thoracotomy in patient with myelodysplastic syndrome |
| title_full | Minimally invasive mitral valve repair via right mini-thoracotomy in patient with myelodysplastic syndrome |
| title_fullStr | Minimally invasive mitral valve repair via right mini-thoracotomy in patient with myelodysplastic syndrome |
| title_full_unstemmed | Minimally invasive mitral valve repair via right mini-thoracotomy in patient with myelodysplastic syndrome |
| title_short | Minimally invasive mitral valve repair via right mini-thoracotomy in patient with myelodysplastic syndrome |
| title_sort | minimally invasive mitral valve repair via right mini thoracotomy in patient with myelodysplastic syndrome |
| topic | Myelodysplastic syndrome Minimally invasive mitral valve repair Right mini-thoracotomy |
| url | http://link.springer.com/article/10.1186/s13019-018-0730-9 |
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