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Minimally Invasive Valve Surgery via Right Mini-Thoracotomy: Technical Aspects to Facilitate Prosthetic Valve Insertion
Journal article   Open access

Minimally Invasive Valve Surgery via Right Mini-Thoracotomy: Technical Aspects to Facilitate Prosthetic Valve Insertion

Mohammed Hassan, Tomas A Salerno, Jimmy Windsor and Marco Ricci
World journal of cardiovascular surgery, Vol.3(5), pp.152-153
2013
DOI: 10.4236/wjcs.2013.35031
url
https://doi.org/10.4236/wjcs.2013.35031View
Published (Version of record) Open Access

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.

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