Subscribe to RSS
Download PDF
DOI: 10.1055/a-2765-7072
Mitral Valve Procedures and Multivessel CABG through a Single Left Anterior Minithoracotomy
Authors
Abstract
We describe a technique for concomitant coronary artery bypass grafting (CABG) and mitral valve (MV) replacement or annuloplasty with ring implantation performed through a single left anterior minithoracotomy (LAmT). Four patients underwent combined MV and CABG surgery using peripheral cardiopulmonary bypass, a transseptal approach to the MV, and complete coronary revascularization. MV exposure was successfully achieved in all cases without conversion to sternotomy. No major complications such as stroke, reoperation for bleeding, or early mortality occurred. Our initial results demonstrate that single LAmT is a feasible sternum-sparing approach for patients requiring simultaneous coronary and mitral procedures.
Keywords
minithoracotomy - mitral valve surgery - coronary artery bypass grafting - total coronary revascularization via left anterior thoracotomy - TCRATPublication History
Received: 23 June 2025
Accepted: 17 November 2025
Accepted Manuscript online:
05 December 2025
Article published online:
15 December 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
-
References
- 1 Sellin C, Belmenai A, Niethammer M, Schächinger V, Dörge H. Sternum-sparing multivessel coronary surgery as a routine procedure: Midterm results of total coronary revascularization via left anterior thoracotomy. JTCVS Tech 2024; 26: 52-60
- 2 Demianenko V, Dörge H, Grossmann M, Sellin C. Minimally invasive combined aortic valve replacement and coronary artery bypass grafting through left anterior minithoracotomy. Innovations (Phila) 2025; 20 (04) 419-421
- 3 Babliak O, Demianenko V, Marchenko A. et al. Left anterior minithoracotomy as a first-choice approach for isolated coronary artery bypass grafting and selective combined procedures. Eur J Cardiothorac Surg 2023; 64 (02) ezad182
- 4 Sellin C, Belmenai A, Demianenko V, Grossmann M, Dörge H. Direct axillary artery cannulation as standard perfusion strategy in minimally invasive coronary artery bypass grafting. J Cardiovasc Dev Dis 2025; 12 (01) 31
- 5 Squiccimarro E, Margari V, Paparella D. Bilateral mini-thoracotomy for combined minimally invasive direct coronary artery bypass and mitral valve repair. Eur J Cardiothorac Surg 2022; 62 (02) ezac306
- 6 Pradegan N, D'Onofrio A, Longinotti L. et al. Feasibility of percutaneous coronary intervention before mitral NeoChord implantation: Single-center early results. J Card Surg 2021; 36 (11) 4205-4210