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KMID : 0364020180510010061
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Korean Journal of Thoracic and Cardiovascular Surgery
2018 Volume.51 No. 1 p.61 ~ p.63
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Minimally Invasive Mitral Valve Repair in a Woman with Marfan Syndrome and Type B Dissection
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Lim Mi-Hee
Je Hyung-Gon
Lee Sang-Kwon
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Abstract
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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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KEYWORD
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Minimally invasive surgical procedures, Mitral valve annuloplasty, Aortic dissection, Marfan syndrome
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