title: Mitraclip Followed by Surgical Aortic Valve Replacement: Hybrid Techniques for Regurgitant Aortic and Mitral Valve Disease.
abstract: With the advent of percutaneous valve interventions, the landscape for management of high-risk valve replacement and repair has changed dramatically. Transcatheter valve repair/replacement techniques can be used in conjunction with open surgery to facilitate a hybrid approach in patients with multivalve disease. We present a case of staged hybrid valve repair followed by surgical replacement for a high-risk patient with mitral regurgitation and aortic regurgitation. This case illustrates the effectiveness of the staged hybrid approach for high-risk patients with incomplete transcatheter options. We expect these techniques to play an increasingly larger role in the treatment algorithm for high-risk multivalve disease.
authors.affiliation: Division of Cardiothoracic Surgery, New York Presbyterian Hospital-Columbia College of Physicians and Surgeons, New York Presbyterian Hospital, New York, New York.
authors.forename: Kyle
authors.initials: K
authors.lastname: Eudailey
authors.affiliation: Department of Cardiology, New York Presbyterian Hospital-Columbia College of Physicians and Surgeons, New York Presbyterian Hospital, New York, New York.
authors.forename: Nadira
authors.initials: N
authors.lastname: Hamid
authors.affiliation: Department of Cardiology, New York Presbyterian Hospital-Columbia College of Physicians and Surgeons, New York Presbyterian Hospital, New York, New York.
authors.forename: Rebecca T
authors.initials: RT
authors.lastname: Hahn
authors.affiliation: Department of Cardiology, New York Presbyterian Hospital-Columbia College of Physicians and Surgeons, New York Presbyterian Hospital, New York, New York.
authors.forename: Susheel
authors.initials: S
authors.lastname: Kodali
authors.affiliation: Department of Cardiology, New York Presbyterian Hospital-Columbia College of Physicians and Surgeons, New York Presbyterian Hospital, New York, New York.
authors.forename: William
authors.initials: W
authors.lastname: Gray
authors.affiliation: Division of Cardiothoracic Surgery, New York Presbyterian Hospital-Columbia College of Physicians and Surgeons, New York Presbyterian Hospital, New York, New York. Electronic address: ig2006@cumc.columbia.edu.
authors.forename: Isaac
authors.initials: I
authors.lastname: George
mesh_terms: D000368:Aged; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D001705:Bioprosthesis / Q000009:adverse effects*; D006328:Cardiac Catheterization / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D013525:Surgical Instruments; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color