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Case Studies | Surgery | Saudi Arabia | Volume 12 Issue 8, August 2023

Right Ventricular Failure Post Minimally Invasive Mitral Valve Repair: Early Diagnosis and Management; Case Report

Hamad Fayez ALHABIB | Faisal ALGHAMDI | Tariq ALZAHRANI | Faisal ALMUTAIRI

Abstract: 53 year old male was diagnosed with severe mitral valve regurgitation (MR) with P2 prolapse and ruptured cord. He underwent Minimally-Invasive (MIS) Mitral Valve (MV) repair via right mini-thoracotomy approach and femoral-femoral (fem-fem) cut down for Cardio-Pulmonary bypass (CPB). He developed Right ventricular failure (RVF) post operatively that was managed with Veno-Arterial (VA) Extracorporeal circulation Membrane oxygenator (ECMO) temporary mechanical heart support. He fully recovered and discharged home. Here we present a successful management of a rare complication that carries a high mortality after cardiac surgery. The key of successful management is early diagnosis and early management also discussed.

Keywords: Right ventricular failure, mitral valve repair, Minimally invasive mitral valve surgery, ECMO

Edition: Volume 12 Issue 8, August 2023,

Pages: 1455 - 1458