Advent of severe mitral regurgitation in surgical ventricular restoration and ventricular septal rupture repair
Abstract Background Per-procedural severe mitral regurgitation is a rare complication in concomitant surgical ventricular restoration and postinfarction ventricular septal rupture repair. It is challenging to discover the underlying etiology and adopt an appropriate strategy, in particular, in a hig...
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | https://doi.org/10.1186/s12872-023-03537-9 |
| _version_ | 1797578270801133568 |
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| author | Yihua Liu Laura Filippetti Pan Dan Elodie Phamisith Valério Sanesi Damien Mandry Giuseppe Lauria Juan Pablo Maureira |
| author_facet | Yihua Liu Laura Filippetti Pan Dan Elodie Phamisith Valério Sanesi Damien Mandry Giuseppe Lauria Juan Pablo Maureira |
| author_sort | Yihua Liu |
| collection | DOAJ |
| description | Abstract Background Per-procedural severe mitral regurgitation is a rare complication in concomitant surgical ventricular restoration and postinfarction ventricular septal rupture repair. It is challenging to discover the underlying etiology and adopt an appropriate strategy, in particular, in a high-risk patient. Case presentation Semi-emergent surgical ventricular restoration combined with ventricular septal rupture closure and coronary artery bypassing was performed in a 67-year-old male patient. Severe mitral regurgitation was detected after the weaning of cardiopulmonary bypass. Two key questions arose in the management of this condition: did the regurgitation exist previously and was dissimulated by significant left-to-right shunt, or it occurred secondarily to the Dor procedure? Which was the better management strategy, chordal-sparing mitral valve replacement or mitral plasty? We believed that severe mitral regurgitation was under-estimated pre-operatively and we performed an downsizing annuloplasty to treat mitral regurgitation. The outcomes were promising and the patient did well in follow-up. Conclusions Our case brought out an open discussion on the etiology and therapeutic strategies of this complicated condition. |
| first_indexed | 2024-03-10T22:20:35Z |
| format | Article |
| id | doaj.art-b3ab6428c698441d9b8afe2dab657b9a |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-03-10T22:20:35Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-b3ab6428c698441d9b8afe2dab657b9a2023-11-19T12:18:35ZengBMCBMC Cardiovascular Disorders1471-22612023-10-012311410.1186/s12872-023-03537-9Advent of severe mitral regurgitation in surgical ventricular restoration and ventricular septal rupture repairYihua Liu0Laura Filippetti1Pan Dan2Elodie Phamisith3Valério Sanesi4Damien Mandry5Giuseppe Lauria6Juan Pablo Maureira7Department of Cardiovascular Surgery and heart transplantation, University Hospital of Nancy, University of LorraineDepartment of Cardiology, University Hospital of Nancy, University of LorraineDepartment of Cardiovascular Surgery and heart transplantation, University Hospital of Nancy, University of LorraineDepartment of Cardiovascular Surgery and heart transplantation, University Hospital of Nancy, University of LorraineDepartment of Cardiovascular Surgery and heart transplantation, University Hospital of Nancy, University of LorraineDepartment of Radiology, University Hospital of Nancy, University of LorraineDepartment of Cardiovascular Surgery and heart transplantation, University Hospital of Nancy, University of LorraineDepartment of Cardiovascular Surgery and heart transplantation, University Hospital of Nancy, University of LorraineAbstract Background Per-procedural severe mitral regurgitation is a rare complication in concomitant surgical ventricular restoration and postinfarction ventricular septal rupture repair. It is challenging to discover the underlying etiology and adopt an appropriate strategy, in particular, in a high-risk patient. Case presentation Semi-emergent surgical ventricular restoration combined with ventricular septal rupture closure and coronary artery bypassing was performed in a 67-year-old male patient. Severe mitral regurgitation was detected after the weaning of cardiopulmonary bypass. Two key questions arose in the management of this condition: did the regurgitation exist previously and was dissimulated by significant left-to-right shunt, or it occurred secondarily to the Dor procedure? Which was the better management strategy, chordal-sparing mitral valve replacement or mitral plasty? We believed that severe mitral regurgitation was under-estimated pre-operatively and we performed an downsizing annuloplasty to treat mitral regurgitation. The outcomes were promising and the patient did well in follow-up. Conclusions Our case brought out an open discussion on the etiology and therapeutic strategies of this complicated condition.https://doi.org/10.1186/s12872-023-03537-9Mitral regurgitationPostinfarction ventricular septal ruptureSurgical ventricular restoration |
| spellingShingle | Yihua Liu Laura Filippetti Pan Dan Elodie Phamisith Valério Sanesi Damien Mandry Giuseppe Lauria Juan Pablo Maureira Advent of severe mitral regurgitation in surgical ventricular restoration and ventricular septal rupture repair BMC Cardiovascular Disorders Mitral regurgitation Postinfarction ventricular septal rupture Surgical ventricular restoration |
| title | Advent of severe mitral regurgitation in surgical ventricular restoration and ventricular septal rupture repair |
| title_full | Advent of severe mitral regurgitation in surgical ventricular restoration and ventricular septal rupture repair |
| title_fullStr | Advent of severe mitral regurgitation in surgical ventricular restoration and ventricular septal rupture repair |
| title_full_unstemmed | Advent of severe mitral regurgitation in surgical ventricular restoration and ventricular septal rupture repair |
| title_short | Advent of severe mitral regurgitation in surgical ventricular restoration and ventricular septal rupture repair |
| title_sort | advent of severe mitral regurgitation in surgical ventricular restoration and ventricular septal rupture repair |
| topic | Mitral regurgitation Postinfarction ventricular septal rupture Surgical ventricular restoration |
| url | https://doi.org/10.1186/s12872-023-03537-9 |
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