Key result
The NYU anterior thoracotomy approach avoids sternotomy for combined aortic and mitral valve surgery.
This article describes a minimally invasive anterior thoracotomy approach for concurrent aortic and mitral valve surgery, which avoids the need for a sternotomy.
Although minimally invasive approaches for individual aortic and mitral valve surgery are commonplace,1-3 these techniques are also quite appropriate for those patients with bivalvular (aortic and mitral) disease. Through a small anterior thoracotomy incision, the surgeon gains access to operate on both the aortic and mitral valves. This incision obviates the need for a sternotomy and its attendant complications.4 This article describes the standard NYU approach for minimally invasive aortic and mitral valve disease.
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Colvin et al. (2000) conducted a review in Bivalvular (aortic and mitral) disease. Minimally invasive aortic and mitral valve operation via small anterior thoracotomy was evaluated. The standard NYU approach for minimally invasive aortic and mitral valve surgery utilizes a small anterior thoracotomy incision to operate on both valves, obviating the need for a sternotomy.
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