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Ann Thorac Surg 2010;89:273-275. doi:10.1016/j.athoracsur.2009.06.033
© 2010 The Society of Thoracic Surgeons
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Michael A. Borger
Joerg Seeburger
Friedrich W. Mohr
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Case Reports

Successful Surgical Treatment of Atrial Fibrillation, Mitral Regurgitation, and Aortic Root Aneurysm in a Patient With Classical Type Ehlers-Danlos Syndrome

Matthias Sauer, MD*, Michael A. Borger, MD, PhD, Joerg Seeburger, MD, Friedrich W. Mohr, MD, PhD

Department of Cardiac Surgery, Heart Center Leipzig, University of Leipzig, Leipzig, Germany

Accepted for publication June 4, 2009.

* Address correspondence to Dr Sauer, Heartcenter University of Leipzig, Struempelstrasse 39, Leipzig, 04289, Germany (Email: matthiassauer{at}yahoo.de).

Herein, we present an unusual case of a 48-year-old patient with Ehlers-Danlos syndrome (classic type) with multiple cardiovascular pathologies, including mitral regurgitation, a dilated aortic root, and chronic atrial fibrillation. A complex mitral valve repair, modified cryo-Maze procedure, and aortic valve-sparing operation (reimplantation) were performed, which were further complicated by the patient's fragile tissues. The patient was discharged on postoperative day 10 in good health with normal mitral and aortic valve function. We believe that this is the first report of such an extensive cardiac procedure in a patient with Ehlers-Danlos syndrome.






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