On pump beating heart mitral valve replacement with protection of the mitral leaflets in poor ventricle patients

Mitral valve replacement (MVR) in patients with severe mitral regurgitation and poor ventricle has a high mortality and morbidity.For such patients if mitral valve repair is not possible MVR can be performed with partial or complete protection of the mitral leaflets.Herein we report 2 patients with severe mitral regurgitation and poor ventricle (EF 20%-25%).MVR was performed by complete protection of the both anterior and posterior mitral leaflets and using the on-pump beating heart technique.Levosemindan was administered to one of the patients on induction of anesthesia.Weaning from cardiopulpunary bypass was uneventful for the both patients.The postoperative course of the 2 patients was uneventful and they were discharged on the 5th and 6th days.