Thorac Cardiovasc Surg 2010; 58(4): 246-248
DOI: 10.1055/s-0029-1240835
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Mitral Valve Replacement with Beating Heart Technique via Right Thoracotomy in a Patient with Previous Bentall Operation

A. I. Parlar1 , F. Cicekcioglu1 , A. K. Irdem1 , A. Hijazi1 , L. Altinay1 , S. F. Katircioglu1
  • 1Cardiovascular Surgery Clinic, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey
Further Information

Publication History

received January 7, 2008

Publication Date:
31 May 2010 (online)


Traditionally, reoperations for mitral valve replacement are carried out under cardioplegic arrest with cross-clamping of the ascending aorta via a median sternotomy. In this case, the mitral valve replacement operation was performed with an on-pump beating heart technique without cross-clamping the aorta and via a right thoracotomy because of diffuse adhesions around the ascending aortic tube graft. A 44-year-old male patient had undergone a Bentall operation via a median sternotomy for annulo-aortic ectasia 3 years ago. He was admitted to the hospital complaining of palpitation and dyspnea. Transthoracic echocardiography revealed 4th degree mitral insufficiency. Mitral valve replacement was carried out through a right thoracotomy using an on-pump beating heart technique without cross clamping the aorta. In conclusion, mitral valve replacement with an on-pump beating heart technique via a right thoracotomy offers a safe approach when excessive dissection is required to place a cross-clamp to the ascending aorta.


Salih Fehmi Katircioglu, MD

Turkiye Yuksek Ihtisas Hastanesi
Kalp ve Damar Cerrahisi Klinigi

Kızılay Sokak

06100, Sihhiye, Ankara


Phone: +90 31 23 06 11 88

Fax: +90 31 22 29 58 68