Key result
A minimally invasive right thoracotomy beating heart approach was detailed for a complex reoperative mitral valve repair in a patient at prohibitive risk for redo sternotomy.
Why the study?
Sternal reentry carries substantial risk when the ascending aorta adheres to the posterior sternum, making alternative techniques necessary when the aorta cannot be cross-clamped.
Case Report (n=1)
A minimally invasive right thoracotomy beating heart approach can be used as an alternative for mitral valve repair in patients at prohibitive risk for redo sternotomy.
Answers are grounded in this paper and cite their sources.
May offer a feasible alternative in select prohibitive-risk reoperative mitral cases; leaves open need for comparative studies before broader use.
Sternal reentry when the ascending aorta is adherent to the posterior table of the sternum is associated with substantial risk. A minimally invasive right thoracotomy beating heart approach is an alternative when the aorta cannot be cross-clamped. This report details this technique for a complex reoperative mitral valve repair procedure performed in a patient with connective tissue disease who had required multiple aortic operations and presented with heart failure and severe functional mitral regurgitation.
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Hassanabad et al. (2022) conducted a case report in Heart failure and severe functional mitral regurgitation in a patient with connective tissue disease (n=1). Minimally invasive right thoracotomy beating heart mitral valve repair was evaluated. A minimally invasive right thoracotomy beating heart approach was detailed for a complex reoperative mitral valve repair in a patient at prohibitive risk for redo sternotomy.
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