Hybrid Approach to Post-Radiation Valve Disease: Robotic Mitral Valve Replacement Alongside Transcatheter Aortic Valve Replacement

Svitlana Bielichenko; Jagdip Kang; Nilay K Patel; Nathaniel B Langer; Serguei Melnitchouk

doi:10.1016/j.jaccas.2024.102690

Hybrid Approach to Post-Radiation Valve Disease: Robotic Mitral Valve Replacement Alongside Transcatheter Aortic Valve Replacement

JACC Case Rep. 2024 Nov 6;29(21):102690. doi: 10.1016/j.jaccas.2024.102690.

Authors

Svitlana Bielichenko¹, Jagdip Kang^{1

2}, Nilay K Patel³, Nathaniel B Langer¹, Serguei Melnitchouk¹

Affiliations

¹ Division of Cardiac Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
² University Department of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany.
³ Division of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.

Abstract

A 63-year-old woman with history of mediastinal radiation was admitted for decompensated heart failure due to severe post-radiation aortic and mitral valve disease. To reduce cardiopulmonary bypass time and postoperative pulmonary complications, she underwent a hybrid approach with robotic mitral valve replacement and transcatheter aortic valve replacement.

Keywords: TAVR; post-radiation valvulitis; robotic mitral valve surgery.

Publication types

Case Reports