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
