Combined TMR and mitral valve replacement via left thoracotomy.
Transmyocardial laser revascularization is an emerging technique for treatment of patients with coronary artery disease not amenable to standard revascularization by either percutaneous transluminal coronary angioplasty or coronary artery bypass grafting. Transmyocardial laser revascularization is typically performed as an isolated procedure on the beating heart, although it has been performed as an adjunct to conventional coronary artery bypass grafting in nongraftable territories. We report the use of transmyocardial laser revascularization in combination with mitral valve replacement via a left lateral thoracotomy for treatment of ischemic mitral regurgitation.
Hughes
G C
GC
Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Donovan
C L
CL
Lowe
J E
JE
Landolfo
K P
KP
D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary; D002315:Cardiopulmonary Bypass; D000075202:Contraindications; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D053685:Laser Therapy / Q000379:methods*; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000601:surgery; D009204:Myocardial Revascularization / Q000379:methods*; D012501:Saphenous Vein / Q000637:transplantation; D013908:Thoracotomy / Q000379:methods*