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- Title
Superior trans-septal approach for minimally invasive mitral valve surgery via right small thoracotomy.
- Authors
Yamazaki, Masataka; Yoshitake, Akihiro; Takahashi, Tatsuo; Ito, Tsutomu; Kimura, Naritaka; Shimizu, Hideyuki
- Abstract
Minimally invasive mitral valve surgery (MIMVS), despite its challenges, is not a rare procedure. However, MIMVS via a right small thoracotomy must be performed using long-shafted surgical instruments and thoracotomy instruments specialized for minimally invasive cardiac surgeries. We have performed 12 cases of MIMVS via right small thoracotomy using the superior trans-septal approach and secured a surgical visual field that easily allows a finger to reach the mitral valve annulus without using special instruments for minimally invasive cardiac surgery. We named this technique the "drawer-case technique." In conclusion, MIMVS via right thoracotomy using the superior trans-septal approach can be performed easily and safely, similar to mitral valve surgery performed via median sternotomy.
- Subjects
MITRAL valve surgery; THORACOTOMY; MINIMALLY invasive procedures; SURGICAL equipment; MITRAL valve; VISUAL fields; HEART septum
- Publication
Journal of Cardiac Surgery, 2019, Vol 34, Issue 8, p728
- ISSN
0886-0440
- Publication type
journal article
- DOI
10.1111/jocs.14101