Hybrid percutaneous coronary intervention and minimally invasive reoperative mitral valve surgery.
We report a complex case of peripheral vascular disease (PVD), coronary artery disease (CAD), and three prosthetic heart valves, who developed severe mitral regurgitation (MR) due to healed endocarditis. She was successfully managed with a hybrid approach utilizing percutaneous coronary intervention (PCI) followed by minimally invasive mitral valve surgery (MIMVS) through right minithoracotomy. This was the patient's fifth cardiac surgery and she was discharged home on the fourth postoperative day (POD).
Masroor
Saqib
S
Division of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. smasroor@mcw.edu
Berkowitz
Robert
R
Nejad
Karan
K
Alexander
John C
JC
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D016491:Peripheral Vascular Diseases / Q000601:surgery*; D012086:Reoperation; D013908:Thoracotomy / Q000379:methods; D017211:Treatment Failure