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Ann Thorac Surg 2003;76:269-271
© 2003 The Society of Thoracic Surgeons

Case report

Emergency mitral valve replacement in the octogenarian

Joseph H. Gorman, III, MDa*, Benjamin M. Jackson, MDa, Daniel M. Kolansky, MDb, Robert C. Gorman, MDa

a Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
b Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA

Accepted for publication December 23, 2002.

* Address reprint requests to Dr Joseph H. Gorman, 3400 Spruce St, 6 Silverstein Pavilion, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
e-mail: gormanj{at}uphs.upenn.edu

Acute mitral regurgitation secondary to a ruptured papillary muscle or primary chord, in the setting of profound cardiogenic shock, is one of the more challenging cases in adult cardiac surgery. Some would consider such a clinical situation in an octogenarian futile and, in the current era of health care cost containment, a potential waste of resources. We present two such cases with successful outcomes.




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