scholarly journals Cost-effectiveness of coronary artery bypass grafting plus mitral valve repair versus coronary artery bypass grafting alone for moderate ischemic mitral regurgitation

2020 ◽  
Vol 159 (6) ◽  
pp. 2230-2240.e15 ◽  
Author(s):  
Bart S. Ferket ◽  
Vinod H. Thourani ◽  
Pierre Voisine ◽  
Samuel F. Hohmann ◽  
Helena L. Chang ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Mitral Valve ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Valve Repair ◽  
Artery Bypass Grafting ◽  
Moderate Ischemic Mitral Regurgitation

Mitral Valve Replacement via Anterolateral Right Thoracotomy without Cross-Clamping in a Patient with Fungal Infective Endocarditis and Functioning Internal Mammary Artery after Previous Coronary Artery Bypass Grafting and Mitral Valve Repair

2016 ◽  
Vol 19 (1) ◽  
pp. 033
Author(s):  
Takahiro Taguchi ◽  
Jeswant Dillon ◽  
Mohd Azhari Yakub
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Mitral Valve ◽  
Coronary Artery Bypass ◽  
Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Valve Repair ◽  
Artery Bypass Grafting ◽  
Internal Mammary

A 55-year-old man developed severe mitral regurgitation with persistent fungal infective endocarditis 8 months after coronary artery bypass grafting with a left internal mammary artery and 2 saphenous veins, as well as mitral valve repair with a prosthetic ring. Echocardiography demonstrated severe mitral regurgitation and a valvular vegetation. Computed tomography coronary arteriography indicated that all grafts were patent and located intimately close to the sternum. Median resternotomy was not attempted due to the risk of injury to the bypass grafts, and therefore, a right anterolateral thoracotomy approach was utilized. Mitral valve replacement was performed with the patient under deep hypothermia and ventricular fibrillation without aortic cross-clamping. The patient`s postoperative course was uneventful. Thus, right anterolateral thoracotomy may be a superior approach to mitral valve surgery in patients who have undergone prior coronary artery bypass grafting.

Coronary artery bypass grafting and mitral valve surgery

2021 ◽  
pp. 443-450
Author(s):  
Arman Kilic ◽  
Robert E. Michler ◽  
Michael A. Acker
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Mitral Valve ◽  
Coronary Artery Bypass ◽  
Mitral Valve Repair ◽  
Artery Bypass ◽  
Mitral Valve Surgery ◽  
Bypass Grafting ◽  
Valve Repair ◽  
Artery Bypass Grafting

With an ageing population and expected increases in the prevalence of heart failure, there will likely be more patients presenting with ischaemic mitral regurgitation (IMR). Multiple studies have shown that surgery can be performed safely in this patient population. Randomized trials have now addressed whether mitral valve repair should be performed concomitantly with coronary artery bypass grafting in the setting of moderate IMR, and whether mitral valve repair or replacement is superior in the setting of severe IMR. Novel percutaneous technologies to address the mitral valve are also in evolution. This chapter provides an overview of IMR including surgical indications, operative techniques, a review of randomized trial data, and percutaneous approaches for mitral valve disease.

Sign in / Sign up

Export Citation Format

Share Document