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Updated: Sep 23, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Emergency mitral valve replacement in the octogenarian
Joseph H Gorman1, Benjamin M Jackson, Daniel M Kolansky
1Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. gormanj@uphs.upenn.edu
Abstract:
Acute mitral regurgitation secondary to a ruptured papillary muscle or primary chord, in the setting of profound cardiogenic shock, is one of the more challenging cases in adult cardiac surgery. Some would consider such a clinical situation in an octogenarian futile and, in the current era of health care cost containment, a potential waste of resources. We present two such cases with successful outcomes.
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