The best of both worlds: staged hybrid approach to complex cardiac disease in a patient at high surgical risk
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The best of both worlds: staged hybrid approach to complex cardiac disease in a patient at high surgical risk. / Conradi, Lenard; Baldus, Stephan; Treede, Hendrik; Seiffert, Moritz; Schirmer, Johannes; Rudolph, Volker; Blankenberg, Stefan; Reichenspurner, Hermann.
in: THORAC CARDIOV SURG, Jahrgang 61, Nr. 5, 08.2013, S. 421-424.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - The best of both worlds: staged hybrid approach to complex cardiac disease in a patient at high surgical risk
AU - Conradi, Lenard
AU - Baldus, Stephan
AU - Treede, Hendrik
AU - Seiffert, Moritz
AU - Schirmer, Johannes
AU - Rudolph, Volker
AU - Blankenberg, Stefan
AU - Reichenspurner, Hermann
N1 - Georg Thieme Verlag KG Stuttgart · New York.
PY - 2013/8
Y1 - 2013/8
N2 - For elderly patients with relevant comorbidities, combined cardiac surgery may be inadequate due to excessive surgical risk. Combining interventional valvular and surgical approaches may decrease surgical burden and operative risk. In the present case, we report a staged strategy of interventional mitral valve repair and secondary surgical aortic valve replacement and replacement of the ascending aorta in a patient at high risk for surgery. This hybrid approach allowed for substitution of one part of surgery by the relatively low-risk MitraClip procedure. For the future, increasing clinical importance of interventional valve therapies either for stand-alone or hybrid procedures can be anticipated.
AB - For elderly patients with relevant comorbidities, combined cardiac surgery may be inadequate due to excessive surgical risk. Combining interventional valvular and surgical approaches may decrease surgical burden and operative risk. In the present case, we report a staged strategy of interventional mitral valve repair and secondary surgical aortic valve replacement and replacement of the ascending aorta in a patient at high risk for surgery. This hybrid approach allowed for substitution of one part of surgery by the relatively low-risk MitraClip procedure. For the future, increasing clinical importance of interventional valve therapies either for stand-alone or hybrid procedures can be anticipated.
KW - Aged, 80 and over
KW - Aortic Aneurysm/complications
KW - Aortic Valve Insufficiency/complications
KW - Aortography/methods
KW - Blood Vessel Prosthesis Implantation
KW - Cardiac Surgical Procedures/instrumentation
KW - Echocardiography, Doppler, Color
KW - Heart Valve Prosthesis Implantation
KW - Humans
KW - Male
KW - Mitral Valve Insufficiency/complications
KW - Surgical Fixation Devices
KW - Tomography, X-Ray Computed
KW - Treatment Outcome
U2 - 10.1055/s-0031-1299587
DO - 10.1055/s-0031-1299587
M3 - SCORING: Journal article
C2 - 22383150
VL - 61
SP - 421
EP - 424
JO - THORAC CARDIOV SURG
JF - THORAC CARDIOV SURG
SN - 0171-6425
IS - 5
ER -