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Swiss Med Wkly. 2019 Dec 17;149:w20168. doi: 10.4414/smw.2019.20168. eCollection 2019 Dec 16.

First in Switzerland: concomitant off-pump transapical transcatheter aortic valve implantation and mitral valve reconstruction with the NeoChord system.

Author information

1
Cardiac Surgery Department, Triemli Hospital, Zurich, Switzerland.
2
Cardiology Department, Triemli Hospital, Zurich, Switzerland.
3
Anaesthesiology Department, Triemli Hospital, Zurich, Switzerland.

Abstract

Old and polymorbid patients with multivalvular heart disease comprise a special patient group, with high perioperative morbidity and mortality. We report the case of an 80-year-old, female, polymorbid patient with severe mitral valve regurgitation and moderate to severe aortic valve stenosis. This is the first case in Switzerland of a concomitant transapical transcatheter aortic valve implantation and mitral valve reconstruction with the NeoChord system, on a beating heart and with a minimally invasive approach through a left anterolateral thoracotomy. This case emphasises the possibility of a low-risk minimally invasive procedure on this high-risk patient-group and shows the importance of interdisciplinary discussion and cooperation in heart teams for optimal patient treatment.

PMID:
31846511
DOI:
10.4414/smw.2019.20168
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