AI Article Synopsis
- The treatment of high-risk patients with multivessel coronary artery disease (CAD) and functional mitral regurgitation (MR) is debated, but a two-stage hybrid approach may offer a solution.
- Two successful cases are presented where patients underwent transcatheter mitral valve repair followed by off-pump coronary artery bypass grafting, showing stability without worsening MR.
- This two-stage treatment strategy could be an ideal option for those patients due to its effectiveness in maintaining hemodynamic stability.
Article Abstract
Unlabelled: The optimal treatment strategy of high surgical risk patients with multivessel coronary artery disease (CAD) and functional mitral regurgitation (MR) remains controversial. We present two cases in which two-stage hybrid treatment with prior transcatheter mitral valve edge-to-edge repair (TEER) followed by off-pump coronary artery bypass grafting (OPCAB) was successfully performed in patients with CAD and functional ischemic MR. In both cases, the patient showed good hemodynamic stability during OPCAB without an increase in MR. A two-stage hybrid strategy with prior TEER followed by OPCAB may be an ideal treatment option for high surgical risk patients with multivessel CAD and functional ischemic MR.
Learning Objective: To recognize the effectiveness of a two-stage hybrid approach with transcatheter edge-to-edge repair and off-pump coronary artery bypass grafting in high surgical risk patients with multivessel coronary artery disease and functional mitral regurgitation.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523192 | PMC |
| http://dx.doi.org/10.1016/j.jccase.2024.05.004 | DOI Listing |
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