Mitral valve replacement with beating heart technique via right thoracotomy in a patient with previous Bentall operation.
Traditionally, reoperations for mitral valve replacement are carried out under cardioplegic arrest with cross-clamping of the ascending aorta via a median sternotomy. In this case, the mitral valve replacement operation was performed with an on-pump beating heart technique without cross-clamping the aorta and via a right thoracotomy because of diffuse adhesions around the ascending aortic tube graft. A 44-year-old male patient had undergone a Bentall operation via a median sternotomy for annulo-aortic ectasia 3 years ago. He was admitted to the hospital complaining of palpitation and dyspnea. Transthoracic echocardiography revealed 4th degree mitral insufficiency. Mitral valve replacement was carried out through a right thoracotomy using an on-pump beating heart technique without cross clamping the aorta. In conclusion, mitral valve replacement with an on-pump beating heart technique via a right thoracotomy offers a safe approach when excessive dissection is required to place a cross-clamp to the ascending aorta.
Cardiovascular Surgery Clinic, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.
A I
AI
Parlar
F
F
Cicekcioglu
A K
AK
Irdem
A
A
Hijazi
L
L
Altinay
S F
SF
Katircioglu
D000328:Adult; D001018:Aortic Diseases / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D004108:Dilatation, Pathologic; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D056346:Sternotomy; D013908:Thoracotomy; D000267:Tissue Adhesions