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Original article

Vol. 149 No. 5152 (2019)

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

  • Vasileios Ntinopoulos
  • David Tüller
  • Alain Bernheim
  • Nestoras Papadopoulos
  • Achim Haeussler
  • Sonja Matter-Ensner
  • Franz Eberli
  • Omer Dzemali
DOI
https://doi.org/10.4414/smw.2019.20168
Cite this as:
Swiss Med Wkly. 2019;149:w20168
Published
17.12.2019

Summary

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.

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