Key result
Mitral valve repair on a beating heart via right minithoracotomy was successfully performed in a patient with severe mitral regurgitation and a history of two previous CABG procedures.
Why the study?
Redo cardiac surgery after CABG carries high morbidity and mortality, with repeat sternotomy serving as a major risk factor, whereas a right minithoracotomy approach provides safer control of conduits and the right ventricle.
Case Report (n=1)
A right minithoracotomy approach on a beating heart can be a successful strategy for mitral valve repair in patients with prior multiple CABG procedures, potentially avoiding the high risks of repeated sternotomy.
Redo cardiac surgery after Coronary Artery Bypass Grafting (CABG) is burdened by high morbidity and mortality, either intraoperatively and postoperatively, with the repeated sternotomy playing a crucial role as risk factor. The right minithoracotomy approach guarantees a safer control on conduits integrity and the right ventricular wall and a low impact on the respiratory mechanics. Herein, we report a patient who previously underwent two CABG (coronary artery bypass grafting) procedures and who was admitted to the hospital with a picture of heart failure caused by a severe mitral regurgitation. He was successfully submitted to a mitral valve repair on a beating heart via the right minithoracotomy approach.
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Asta et al. (2023) conducted a case report in Heart failure caused by severe mitral regurgitation after previous CABG (n=1). Mitral valve repair on a beating heart via right minithoracotomy was evaluated on Successful mitral valve repair. Mitral valve repair on a beating heart via right minithoracotomy was successfully performed in a patient with severe mitral regurgitation and a history of two previous CABG procedures.
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