title: The best of both worlds: staged hybrid approach to complex cardiac disease in a patient at high surgical risk.
abstract: For elderly patients with relevant comorbidities, combined cardiac surgery may be inadequate due to excessive surgical risk. Combining interventional valvular and surgical approaches may decrease surgical burden and operative risk. In the present case, we report a staged strategy of interventional mitral valve repair and secondary surgical aortic valve replacement and replacement of the ascending aorta in a patient at high risk for surgery. This hybrid approach allowed for substitution of one part of surgery by the relatively low-risk MitraClip procedure. For the future, increasing clinical importance of interventional valve therapies either for stand-alone or hybrid procedures can be anticipated.
authors.affiliation: Department of Cardiovascular Surgery, University Heart Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. lconradi@uke.de
authors.forename: Lenard
authors.initials: L
authors.lastname: Conradi
authors.forename: Stephan
authors.initials: S
authors.lastname: Baldus
authors.forename: Hendrik
authors.initials: H
authors.lastname: Treede
authors.forename: Moritz
authors.initials: M
authors.lastname: Seiffert
authors.forename: Johannes
authors.initials: J
authors.lastname: Schirmer
authors.forename: Volker
authors.initials: V
authors.lastname: Rudolph
authors.forename: Stefan
authors.initials: S
authors.lastname: Blankenberg
authors.forename: Hermann
authors.initials: H
authors.lastname: Reichenspurner
mesh_terms: D000369:Aged, 80 and over; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures / Q000295:instrumentation; D018618:Echocardiography, Doppler, Color; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D053831:Surgical Fixation Devices; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome