title: Beating heart mitral valve replacement in a patient with a previous Bentall operation.
abstract: Today, mitral valve replacement is performed under cardioplegic arrest with cross-clamping of the ascending aorta. In the case reported here, mitral valve replacement was performed with an on-pump beating heart technique without cross-clamping the aorta because of diffuse adhesion around the tube graft. A 36-year-old man had undergone a Bentall operation (aortic root replacement+coronary reimplantation) via median sternotomy because of type I aortic dissection 4 years previously in our cardiac center. He was admitted to the hospital complaining of palpitation and dyspnea on mild exertion. Transthoracic echocardiography study revealed third-degree mitral insufficiency. Mitral valve replacement was carried out through re-median sternotomy with an on-pump beating heart technique without crossclamping the aorta. On-pump beating heart mitral valve replacement without a cross-clamp offers a safe approach when excessive dissection is required to place a crossclamp on the ascending aorta.
authors.affiliation: Cardiovascular Surgery Clinic, Turkiye Yuksek Ihtisas Hospital, 06100 Sihhiye, Ankara, Turkey.
authors.forename: Ferit
authors.initials: F
authors.lastname: Cicekcioglu
authors.forename: Ali Ihsan
authors.initials: AI
authors.lastname: Parlar
authors.forename: Levent
authors.initials: L
authors.lastname: Altinay
authors.forename: Alaa
authors.initials: A
authors.lastname: Hijazi
authors.forename: Ahmet Kuddusi
authors.initials: AK
authors.lastname: Irdem
authors.forename: Salih Fehmi
authors.initials: SF
authors.lastname: Katircioglu
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures