Mitral valve repair facilitated with transapical beating heart NeoChord implantation in a non-Hodgkin’s lymphoma patient

• Published in: Journal of anesthesia Vol. 30; no. 6; pp. 1056 - 1059
• Main Authors: Kavakli, Ali Sait, Ayoglu, Raif Umut, Kavrut Ozturk, Nilgun, Tekinalp, Omer Haldun, Erkal, Zehra, Inanoglu, Kerem, Emmiler, Mustafa
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01-12-2016; Springer
• Subjects: Aged; Anesthesiology; Cancer patients; Cardiac Surgical Procedures - methods; Cardiopulmonary Bypass; Clinical Report; Coronary artery bypass; Critical Care Medicine; Emergency Medicine; Heart Valve Prosthesis Implantation - methods; Humans; Intensive; Lymphoma, Non-Hodgkin - pathology; Lymphomas; Male; Medicine; Medicine & Public Health; Minimally Invasive Surgical Procedures - methods; Mitral Valve - surgery; Mitral Valve Insufficiency - surgery; Pain Medicine; Postoperative Complications - epidemiology; Treatment Outcome; Non-Hodgkin’s lymphoma; Mitral regurgitation; Minimal invasive; Cardiac surgery; Transapical mitral valve repair
• ISSN: 0913-8668; 1438-8359
• DOI: 10.1007/s00540-016-2251-9

Elderly patients with severe hematological malignancies may require cardiac surgery. The combined impact of cardiopulmonary bypass (CPB) and surgical trauma is a potent inflammatory activator and is increased by intraoperative and postoperative complications. To avoid the adverse effects of CPB, minimally invasive off-pump techniques may be used in these patients. The transapical off-pump mitral valve intervention with NeoChord implantation (TOP-MINI) is a minimally invasive technique for mitral valve repair, which makes it possible to avoid the risks of CPB in selected patients, such as elderly, cancer or immunosuppressive patients. We report here the case of a 78-year-old male with B-cell non-Hodgkin’s lymphoma, who presented with severe mitral regurgitation. The patient was successfully treated with the TOP-MINI procedure.