End Stage Renal Disease Mitral

Author: Kirsten Freeman, MD
Institution: University of Florida
Date Reviewed: 2022
Original Case: Raghav Murthy, MD; Derek Williams, MD; David Graham, MD; Brian Bethea, MD / University of  Texas Southwestern
Learning Domain: Adult Cardiac Surgery
Learning Objective: Mitral  Valve  Disease / Coronary Artery Disease
PowerPoint File: End Stage Renal Disease Mitral

Discussions Points for Conference

• Indications for Mitral valve surgery
• MV Repair vs replacement of the mitral valve in ESRD patients)
• Role of Mitraclip
• Mechanical vs Bioprosthetic valve in pts with ESRD
• Implications of Mitral Valve Annular Calcification

Learning Points

• Ischemic mitral regurgitation with Severe MAC
• Not easily amenable to MV repair
• CABG done with LA appendage  occlusion
• Bioprosthetic valve choice reasonable for older patients in light of unclear long-term prognosis from ESRD and potential for valve in valve options
• However, in young patients it is still reasonable to consider mechanical valve