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Hybrid Percutaneous Coronary Intervention and Minimally Invasive Reoperative Mitral Valve Surgery
Authors:Saqib Masroor,M.D.,M.H.S.,Robert Berkowitz,M.D.,&dagger  ,Karan Nejad,M.D.,&dagger  , John C. Alexander,M.D.,&Dagger  
Affiliation:Division of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin;;Division of Cardiology, Hackensack University Medical Center, Hackensack, New Jersey;;and Division of Cardiothoracic Surgery, Evanston Northwestern Hospital, Evanston, Illinois
Abstract:Abstract   We report a complex case of peripheral vascular disease (PVD), coronary artery disease (CAD), and three prosthetic heart valves, who developed severe mitral regurgitation (MR) due to healed endocarditis. She was successfully managed with a hybrid approach utilizing percutaneous coronary intervention (PCI) followed by minimally invasive mitral valve surgery (MIMVS) through right minithoracotomy. This was the patient's fifth cardiac surgery and she was discharged home on the fourth postoperative day (POD) .
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