title: [Right thoracotomy to approach mitral or tricuspid valve in reoperation].
abstract: Four patients underwent mitral valve re-replacement, and required tricuspid annuloplasty in two, through a right thoracotomy. There was no major postoperative morbidity and recovery was full and uneventful. The indications for selection of this approach were isolated mitral valve disease or combined tricuspid and mitral valve disease, severe adhesion between heart and sternum on CT scan, intact aortic valve and no severe reduction of respiratory function. We recommend right thoracotomy to approach atrioventricular valves in selected situations in patients for reoperations.
authors.affiliation: Department of Surgery, University of Tsukuba, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Terada
authors.forename: N
authors.initials: N
authors.lastname: Atsumi
authors.forename: T
authors.initials: T
authors.lastname: Jikuya
authors.forename: K
authors.initials: K
authors.lastname: Sakakibara
authors.forename: T
authors.initials: T
authors.lastname: Tsutsui
authors.forename: K
authors.initials: K
authors.lastname: Okamura
authors.forename: T
authors.initials: T
authors.lastname: Mitsui
authors.forename: M
authors.initials: M
authors.lastname: Hori
mesh_terms: D000368:Aged; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D012086:Reoperation; D013908:Thoracotomy / Q000379:methods*; D014261:Tricuspid Valve / Q000601:surgery*