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.

译文

老年和多瓣膜病患者是一个特殊的患者组,围手术期发病率和死亡率很高。我们报告了一名80岁的女性多病患者,患有严重的二尖瓣反流和中度至重度主动脉瓣狭窄。这是瑞士首例通过NeoChord系统,在跳动的心脏上以及通过左前外侧开胸的微创方法同时进行经心尖经导管主动脉瓣置入和二尖瓣重建的病例。该案例强调了在这个高风险患者组中进行低风险微创手术的可能性,并显示了跨学科讨论和心脏团队合作对于最佳患者治疗的重要性。

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