Key result
Minimally invasive valve surgery via right anterior thoracotomy allows simultaneous RCA venous graft bypass.
Case Report (n=1)
This case demonstrates the feasibility of performing simultaneous minimally invasive valve surgery and right coronary artery bypass grafting via a single right anterior thoracotomy.
Alerts to possible restenosis during radiation-related valve surgery; leaves open optimal revascularization timing in this population.
Herein, we report the case of a 60-year-old woman who presented with increasing dyspnea on exertion. Echocardiography revealed significant aortic and mitral regurgitation, which were most likely secondary to previous radiation therapy for breast cancer. On cardiac catheterization a 90% ostial right coronary artery lesion was found and treated with a drug-eluting stent. During minimally invasive valve surgery, via a right anterior thoracotomy, it was noted that the stent had restenosed. Therefore, the right coronary artery was bypassed with a segment of venous graft through the same incision.
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Joshi et al. (2013) conducted a case report in Aortic and mitral regurgitation with right coronary artery restenosis (n=1). Minimally invasive valve surgery with venous graft bypass was evaluated. Minimally invasive valve surgery via a right anterior thoracotomy was successfully combined with a venous graft bypass to a restenosed right coronary artery in a 60-year-old woman.
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