Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review.
Laura AstaUmberto BenedettoFabrizio Costantino TancrediGabriele Di GiammarcoPublished in: Journal of clinical medicine (2023)
Redo cardiac surgery after Coronary Artery Bypass Grafting (CABG) is burdened by high morbidity and mortality, either intraoperatively and postoperatively, with the repeated sternotomy playing a crucial role as risk factor. The right minithoracotomy approach guarantees a safer control on conduits integrity and the right ventricular wall and a low impact on the respiratory mechanics. Herein, we report a patient who previously underwent two CABG (coronary artery bypass grafting) procedures and who was admitted to the hospital with a picture of heart failure caused by a severe mitral regurgitation. He was successfully submitted to a mitral valve repair on a beating heart via the right minithoracotomy approach.
Keyphrases
- coronary artery bypass grafting
- aortic valve replacement
- mitral valve
- coronary artery disease
- aortic stenosis
- heart failure
- left ventricular
- cardiac surgery
- minimally invasive
- percutaneous coronary intervention
- transcatheter aortic valve implantation
- aortic valve
- risk factors
- transcatheter aortic valve replacement
- ejection fraction
- left atrial
- acute kidney injury
- atrial fibrillation
- case report
- healthcare
- coronary artery
- cardiac resynchronization therapy
- early onset
- robot assisted
- emergency department
- acute heart failure
- adverse drug
- respiratory tract