WJCS  Vol.3 No.5 , September 2013
Minimally Invasive Valve Surgery via Right Mini-Thoracotomy: Technical Aspects to Facilitate Prosthetic Valve Insertion*
ABSTRACT
Mitral and tricuspid valve surgery is increasingly being performed through a right mini-thoracotomy approach. Although valve repair is preferred over replacement whenever possible, valve replacement may be required in certain patients. In situations where the mitral or tricuspid anatomy are unfavorable and exposure is difficult, seating a prosthetic valve in the annulus through a right mini-thoracotomy approach may be difficult, compared to conventional sternotomy approach. This is complicated by limited tactile feedback in the minimally invasive approach. Herein, we describe several simple maneuvers that facilitate proper prosthetic valve seating and visualization of the posterior annulus during minimally invasive valve operations via right mini-thoracotomy.

Cite this paper
M. Hassan, T. A. Salerno, J. Windsor and M. Ricci, "Minimally Invasive Valve Surgery via Right Mini-Thoracotomy: Technical Aspects to Facilitate Prosthetic Valve Insertion*," World Journal of Cardiovascular Surgery, Vol. 3 No. 5, 2013, pp. 152-153. doi: 10.4236/wjcs.2013.35031.
References
[1]   J. Seeburger, M. A. Borger, J. Passage, et al., “Minimally Invasive Isolated Tricuspid Valve Surgery,” The Journal of Heart Valve Disease, Vol. 19, No. 2, 2010, pp. 189-192.

[2]   T. C. Lee, B. Desai and D. D. Glower, “Results of 141 Consecutive Minimally Invasive Tricuspid Valve Operations: An 11-Year Experience,” The Annals of Thoracic Surgery, Vol. 88, No. 6, 2009, pp. 1845-1850. doi:10.1016/j.athoracsur.2009.08.052

[3]   J. Seeburger, M. A. Borger, V. Falk, et al., “Minimal Invasive Mitral Valve Repair for Mitral Regurgitation: Results of 1339 Consecutive Patients,” European Journal Cardio-Thoracic Surgery, Vol. 34, No. 4, 2008, pp. 760-765. doi:10.1016/j.ejcts.2008.05.015

[4]   J. Seeburger, M. A. Borger, N. Doll, et al., “Comparison of Outcomes of Minimally Invasive Mitral Valve Surgery for Posterior, Anterior and Bileaflet Prolapse,” European Journal Cardio-Thoracic Surgery, Vol. 36, No. 3, 2009, pp. 532-538. doi:10.1016/j.ejcts.2009.03.058

 
 
Top