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, Vol. 61, No. 5, 08.2013, p. 421-424.

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@article{6012ddb73f9c4deca605973e85f69e3e,
title = "The best of both worlds: staged hybrid approach to complex cardiac disease in a patient at high surgical risk",
abstract = "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. ",
keywords = "Aged, 80 and over, Aortic Aneurysm/complications, Aortic Valve Insufficiency/complications, Aortography/methods, Blood Vessel Prosthesis Implantation, Cardiac Surgical Procedures/instrumentation, Echocardiography, Doppler, Color, Heart Valve Prosthesis Implantation, Humans, Male, Mitral Valve Insufficiency/complications, Surgical Fixation Devices, Tomography, X-Ray Computed, Treatment Outcome",
author = "Lenard Conradi and Stephan Baldus and Hendrik Treede and Moritz Seiffert and Johannes Schirmer and Volker Rudolph and Stefan Blankenberg and Hermann Reichenspurner",
note = "Georg Thieme Verlag KG Stuttgart · New York.",
year = "2013",
month = aug,
doi = "10.1055/s-0031-1299587",
language = "English",
volume = "61",
pages = "421--424",
journal = "THORAC CARDIOV SURG",
issn = "0171-6425",
publisher = "Georg Thieme Verlag KG",
number = "5",

}

RIS

TY - JOUR

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 -