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- Title
Beating heart mitral valve repair for a patient with previous coronary bypass: a case report and review of the literature.
- Authors
Teruya Nakamura; Hironori Izutani; Naosumi Sekiya; Taro Nakazato; Yoshiki Sawa
- Abstract
Mitral valve reoperation, through a median sternotomy, for a patient with patent coronary bypass grafts is technically challenging and carries higher postoperative morbidity and mortality than a primary operation. We present a case of mitral valve repair using a beating heart technique under normothermic cardiopulmonary bypass that was performed 3 years after a coronary artery bypass operation. A limited (10 cm) right thoracotomy was made and cardiopulmonary bypass was conducted using the ascending aortic and femoral venous cannulation. The left atrium was opened while beating was maintained. Triangular resection of the prolapsed portion of the posterior leaflet and ring annuloplasty were performed. Completeness of the repair was verified by direct visualization under beating condition and transesophageal echocardiogram. This technique is a safe and feasible option for a mitral valve reoperation that excludes re-sternotomy, extensive pericardial dissection and aortic clamping, thereby minimizes risks of bleeding, graft injury and myocardial damage.
- Subjects
CARDIOPULMONARY bypass; CARDIAC surgery; SURGICAL excision; HEART blood-vessels; CORONARY arteries
- Publication
Journal of Cardiothoracic Surgery, 2013, Vol 8, Issue 1, p1
- ISSN
1749-8090
- Publication type
Article
- DOI
10.1186/1749-8090-8-187