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Tex Heart Inst J. 2011;38(3):298-300.

Minimally invasive transaortic mitral valve repair during aortic valve replacement.

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  • 1Columbia University Divisions of Cardiology, Mount Sinai Heart Institute, Miami Beach, Florida 33140, USA.


Herein, we report the case of a 77-year-old man who presented with congestive heart failure. Echocardiography and cardiac catheterization revealed severe aortic stenosis with severe mitral regurgitation and a left ventricular ejection fraction of 0.20. Because of comorbidities, the patient was considered to be at high risk for double-valve surgery. In order to reduce the operative risk, a minimally invasive aortic valve replacement was performed together with a transaortic edge-to-edge repair (Alfieri stitch) of the mitral valve. We discuss the surgical technique and note the positive outcome. To our knowledge, this is the 1st report of minimally invasive aortic valve replacement and transaortic mitral valve repair with use of the Alfieri stitch.


Aortic valve/surgery; cardiac surgical procedures/methods; heart valve diseases/surgery; heart valve prosthesis implantation/methods; mitral valve insufficiency/complications/surgery; suture techniques; treatment outcome

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