Hybrid Double Valve Replacement for Multivalvular Disease With Severe Mitral Annular Calcification. Issue 2 (March 2021)

• Record Type: Journal Article
• Authors: Alukayli, Mahmoud; Fujii, Satoru; Gelinas, Jill; Harle, Chris; Bagur, Rodrigo; Chu, Michael W. A.
• Is Part Of: Innovations. Volume 16:Issue 2(2021)
• Page Start: 198
• Page End: 200
• Publication Date: 2021-03
• Subjects: hybrid -- multivalvular -- transcatheter -- mitral annullar calcification -- Jehovah's Witness; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1177/1556984520986934
• Languages: English
• ISSNs: 1556-9845

Abstract

Severe mitral annular calcification poses a significant challenge, particularly in higher risk, frail, elderly patients with multivalvular disease. Both surgical and transcatheter options exist but remain fraught with risks of paravalvular leak, atrioventricular groove disruption, patient prosthesis mismatch, and left ventricular outflow tract obstruction. We present an innovative hybrid surgical approach to manage severe aortic and mitral valve disease in a Jehovah's Witness patient with severe circumferential mitral annular calcification.