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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e33-e35
DOI: 10.1055/s-0043-1768982
Case Report: Cardiac

Bilateral Minithoracotomy for Mitral Valve Repair and Coronary Bypass Grafting

Albi Fagu 
1   Department of Cardiovascular Surgery, Universitätsklinikum Freiburg, Freiburg, Baden-Württemberg, Germany
,
Clarence Pingpoh
2   Department of Cardiac Surgery, Cardiovascular Center, Inselspital Universitatsspital Bern, Bern, Bern, Switzerland
,
Tim Berger 
1   Department of Cardiovascular Surgery, Universitätsklinikum Freiburg, Freiburg, Baden-Württemberg, Germany
,
Matthias Siepe
2   Department of Cardiac Surgery, Cardiovascular Center, Inselspital Universitatsspital Bern, Bern, Bern, Switzerland
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Abstract

Background Combined mitral valve and coronary artery surgery is usually accomplished via a median sternotomy and is associated with increased mortality and morbidity.

Case Description We report on a 67-year-old patient with mitral valve regurgitation and concomitant coronary artery disease (CAD). The mitral valve was repaired using the loops and ring technique, and the left anterior descending artery was revascularized using the left internal mammary artery through a bilateral minithoracotomy approach. The postoperative course was uneventful.

Conclusion Patients with mitral valve pathologies and concomitant CAD can be successfully operated via a bilateral minithoracotomy approach.

Keywords

minimally invasive surgery - mitral valve - surgery - coronary artery bypass grafting - CABG

Authors' Contribution

A.F. performed the operation and contributed toward drafting the manuscript and visualization. C.P. performed the operation and did the review and editing of the manuscript. T.B. contributed toward the conception of work and editing of the manuscript. M.S. performed the operation and critical revision of the article.




Publication History

Received: 05 August 2022

Accepted: 26 October 2022

Article published online:
29 May 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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