Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Minimally Invasive Mitral Valve Repair in a Woman with Marfan Syndrome and Type B Dissection

  • Lim, Mi Hee (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Medical Research Institute of Pusan National University) ;
  • Je, Hyung Gon (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Medical Research Institute of Pusan National University) ;
  • Lee, Sang Kwon (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Medical Research Institute of Pusan National University)
  • Received : 2017.04.12
  • Accepted : 2017.06.26
  • Published : 2018.02.05
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Abstract

We report the case of a patient with mitral regurgitation complicated by type B dissection and Marfan syndrome (MFS) who was managed successfully with minimally invasive mitral valve repair. Without type A aortic dissection or aortic root dilation, MFS patients may develop mitral valve regurgitation, as in this case, and need valve surgery to improve their symptoms and long-term survival. However, it is not clear that a full sternotomy and prophylactic aortic surgery are necessary. Although retrograde perfusion to the dissected aorta is controversial, our approach minimizes the risk of future anticipated aortic surgery in MFS patients.

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References

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Cited by

  1. An Endoscopic Solution to Mitral Regurgitation in a Complex Patient With Marfan Syndrome vol.14, pp.6, 2018, https://doi.org/10.1177/1556984519874799