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Updated: Jul 16, 2026
08:31
A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Beating-heart mitral valve reoperation in a patient with a permanent pacemaker
Hasmet Bardakci1, A Duran Demir, Ferit Cicekçioğlu
1Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey. hasmetbardakci@yahoo.com
Journal of Cardiac Surgery
|March 7, 2007
Summary
This case study highlights a successful mitral valve reoperation on a beating heart for a patient with a paravalvular leak. The procedure utilized continuous normothermic blood perfusion, offering a potential alternative for complex cardiac surgeries.
Area of Science:
- Cardiovascular Surgery
- Cardiac Anesthesia
Background:
- Mitral valve reoperation presents unique challenges, especially in patients with prior cardiac surgeries and implanted devices.
- Paravalvular leaks can lead to significant morbidity and necessitate complex surgical interventions.
Observation:
- A 60-year-old male with a history of double-valve replacement and permanent pacemaker underwent mitral valve reoperation.
- The reoperation was performed on a beating heart using cardiopulmonary bypass.
- Continuous coronary sinus perfusion with oxygenated, noncardioplegic, normothermic blood was employed.
Findings:
- Successful mitral valve reoperation was achieved on a beating heart.
- The continuous perfusion technique maintained myocardial viability without cardioplegia.
- The patient's prior cardiac history and pacemaker did not preclude this approach.
Implications:
- This technique may offer a viable alternative for mitral valve reoperation in select patients, potentially reducing complications associated with cardioplegia.
- Beating heart surgery with continuous perfusion could be explored in complex reoperative cardiac procedures.
- Further research is warranted to evaluate the long-term outcomes and broader applicability of this perfusion strategy.
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