Tasar R, Tkebuchava S, Diab M, Doenst T. An 86-Year-Old Female with Mitral Regurgitation and Significant Pectus Excavatum.
Thorac Cardiovasc Surg Rep 2019;
8:e37-e40. [PMID:
31871852 PMCID:
PMC6923716 DOI:
10.1055/s-0039-1700881]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 07/30/2019] [Indexed: 12/02/2022] Open
Abstract
Background
We report the case of minimally invasive mitral valve repair in an 86-year-old female with symptomatic structural mitral regurgitation and severe pectus excavatum.
Case Description
The case summarizes four areas of repetitive heart team discussions. First, should an 86-year-old patient still be treated invasively? Second, if so, should treatment be interventional or surgical? Third, if surgical, should we replace or repair at that age and fourth which surgical access is best with respect to her chest deformation?
Conclusion
We chose to surgically repair the valve using a minimally invasive approach. The patient was extubated 3 hours after surgery and discharged after 7 days.
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