title: Minimally Invasive Mitral Valve Replacement and Transfemoral Aortic Valve Implantation.
abstract: The case is reported of a symptomatic elderly patient with severe mitral regurgitation, severe aortic valve stenosis, and coronary heart disease. The coronary artery disease had been interventionally treated four years previously with stent implantation into the right coronary artery. Published studies have shown that a combination of mitral and aortic valve surgery is associated with a significantly increased risk of mortality and morbidity, particularly in elderly patients. In the present patient, both valvular malformations were successfully treated with a single-step interdisciplinary approach, namely an initial surgical mitral valve replacement followed by transfemoral transcatheter aortic valve replacement.
authors.forename: Christian
authors.initials: C
authors.lastname: Rustenbach
authors.forename: Hardy
authors.initials: H
authors.lastname: Baumbach
authors.forename: Stephan
authors.initials: S
authors.lastname: Hill
authors.forename: Ulrich F W
authors.initials: UF
authors.lastname: Franke
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D063126:Balloon Valvuloplasty; D006328:Cardiac Catheterization / Q000379:methods*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005263:Femoral Artery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D008943:Mitral Valve / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation; D012720:Severity of Illness Index; D015607:Stents; D020775:Thoracic Surgery, Video-Assisted; D016896:Treatment Outcome