Subscribe to RSS
Bilateral Minithoracotomy for Mitral Valve Repair and Coronary Bypass Grafting
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.
Keywordsminimally invasive surgery - mitral valve - surgery - coronary artery bypass grafting - CABG
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.
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/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
- 1 Matta A, Moussallem N. Coronary artery disease is associated with valvular heart disease, but could it be a predictive factor?. Indian Heart J 2019; 71 (03) 284-287
- 2 Bowdish ME, D'Agostino RS, Thourani VH. et al. The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2020 update on outcomes and research. Ann Thorac Surg 2020; 109 (06) 1646-1655
- 3 Sündermann SH, Sromicki J, Rodriguez Cetina Biefer H. et al. Mitral valve surgery: right lateral minithoracotomy or sternotomy? A systematic review and meta-analysis. J Thorac Cardiovasc Surg 2014; 148 (05) 1989-1995.e4
- 4 Goldstone AB, Atluri P, Szeto WY. et al. Minimally invasive approach provides at least equivalent results for surgical correction of mitral regurgitation: a propensity-matched comparison. J Thorac Cardiovasc Surg 2013; 145 (03) 748-756
- 5 Raja SG, Garg S, Rochon M, Daley S, De Robertis F, Bahrami T. Short-term clinical outcomes and long-term survival of minimally invasive direct coronary artery bypass grafting. Ann Cardiothorac Surg 2018; 7 (05) 621-627
- 6 Smit PJ, Shariff MA, Nabagiez JP, Khan MA, Sadel SM, McGinn Jr JT. Experience with a minimally invasive approach to combined valve surgery and coronary artery bypass grafting through bilateral thoracotomies. Heart Surg Forum 2013; 16 (03) E125-E131
- 7 Keyl C, Staier K, Pingpoh C. et al. Unilateral pulmonary oedema after minimally invasive cardiac surgery via right anterolateral minithoracotomy. Eur J Cardiothorac Surg 2015; 47 (06) 1097-1102