Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Cardiovascular Surgery (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005001207 |
Resumo: | Abstract Paravalvular leakage (PVL) after mitral valve replacement is a troublesome complication that may lead to severe symptoms and reoperation. Previous case reports on total thoracoscopic cardiac surgery without aortic cross-clamping for repairing late PVL are rare. We describe a 64-year-old man who had undergone aortic and mitral valve replacement via median sternotomy eight years earlier, and who recently developed cardiac failure due to severe tricuspid regurgitation (TR) and PVL in the posterior mitral annulus. During total thoracoscopic surgery with using the beating heart technique, direct closure of the PVL was achieved via pledgeted mattress sutures, and tricuspid valvuloplasty was routinely performed to treat TR. This case indicated that total thoracoscopic surgery on a beating heart may be an excellent option for treating PVL concomitant with TR. |
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Brazilian Journal of Cardiovascular Surgery (Online) |
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Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating HeartThoracoscopyTricuspid Valve InsufficiencySternotomyConstrictionCardiac Surgical ProceduresSuture TechniquesAbstract Paravalvular leakage (PVL) after mitral valve replacement is a troublesome complication that may lead to severe symptoms and reoperation. Previous case reports on total thoracoscopic cardiac surgery without aortic cross-clamping for repairing late PVL are rare. We describe a 64-year-old man who had undergone aortic and mitral valve replacement via median sternotomy eight years earlier, and who recently developed cardiac failure due to severe tricuspid regurgitation (TR) and PVL in the posterior mitral annulus. During total thoracoscopic surgery with using the beating heart technique, direct closure of the PVL was achieved via pledgeted mattress sutures, and tricuspid valvuloplasty was routinely performed to treat TR. This case indicated that total thoracoscopic surgery on a beating heart may be an excellent option for treating PVL concomitant with TR.Sociedade Brasileira de Cirurgia Cardiovascular2022-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005001207Brazilian Journal of Cardiovascular Surgery n.ahead 2022reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.21470/1678-9741-2020-0692info:eu-repo/semantics/openAccessLiu,HuananLiao,ShengjieLin,ZhaomingZhang,Xiaosheneng2022-02-15T00:00:00Zoai:scielo:S0102-76382022005001207Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2022-02-15T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false |
dc.title.none.fl_str_mv |
Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart |
title |
Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart |
spellingShingle |
Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart Liu,Huanan Thoracoscopy Tricuspid Valve Insufficiency Sternotomy Constriction Cardiac Surgical Procedures Suture Techniques |
title_short |
Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart |
title_full |
Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart |
title_fullStr |
Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart |
title_full_unstemmed |
Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart |
title_sort |
Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart |
author |
Liu,Huanan |
author_facet |
Liu,Huanan Liao,Shengjie Lin,Zhaoming Zhang,Xiaoshen |
author_role |
author |
author2 |
Liao,Shengjie Lin,Zhaoming Zhang,Xiaoshen |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Liu,Huanan Liao,Shengjie Lin,Zhaoming Zhang,Xiaoshen |
dc.subject.por.fl_str_mv |
Thoracoscopy Tricuspid Valve Insufficiency Sternotomy Constriction Cardiac Surgical Procedures Suture Techniques |
topic |
Thoracoscopy Tricuspid Valve Insufficiency Sternotomy Constriction Cardiac Surgical Procedures Suture Techniques |
description |
Abstract Paravalvular leakage (PVL) after mitral valve replacement is a troublesome complication that may lead to severe symptoms and reoperation. Previous case reports on total thoracoscopic cardiac surgery without aortic cross-clamping for repairing late PVL are rare. We describe a 64-year-old man who had undergone aortic and mitral valve replacement via median sternotomy eight years earlier, and who recently developed cardiac failure due to severe tricuspid regurgitation (TR) and PVL in the posterior mitral annulus. During total thoracoscopic surgery with using the beating heart technique, direct closure of the PVL was achieved via pledgeted mattress sutures, and tricuspid valvuloplasty was routinely performed to treat TR. This case indicated that total thoracoscopic surgery on a beating heart may be an excellent option for treating PVL concomitant with TR. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005001207 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005001207 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.21470/1678-9741-2020-0692 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
dc.source.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery n.ahead 2022 reponame:Brazilian Journal of Cardiovascular Surgery (Online) instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
instname_str |
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
instacron_str |
SBCCV |
institution |
SBCCV |
reponame_str |
Brazilian Journal of Cardiovascular Surgery (Online) |
collection |
Brazilian Journal of Cardiovascular Surgery (Online) |
repository.name.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
repository.mail.fl_str_mv |
||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br |
_version_ |
1752126603654070272 |