title: Minimally invasive combined aortic and mitral valve replacement.
abstract: A technique is described here to carry out combined aortic and mitral valve replacement (DVR) in a patient with rheumatic valve disease utilising a minimally invasive approach without major modification in the conventional technique. An incision of approximately 5 cm is made on the upper sternum followed by partial sternal split with 'J' extension in the right third inter costal space (ICS). The mitral and aortic valves can be replaced with ease and excellent outcome. The technique is reproducible and does not require any special instrumentation. We carried out DVR with this approach in 17 patients.
authors.affiliation: Dept. of Minimally Invasive Cardiac Surgery, CARE Hospital - The Heart Institute, Athwagate, Surat 395001, Gujarat, India. pragnesh joshi@yahoo.com
authors.forename: Pragnesh
authors.initials: P
authors.lastname: Joshi
authors.forename: Chirag
authors.initials: C
authors.lastname: Doshi
authors.forename: Mahesh
authors.initials: M
authors.lastname: Vinchurkar
authors.forename: Rajesh
authors.initials: R
authors.lastname: Thosani
authors.forename: Prashant
authors.initials: P
authors.lastname: Sagar
authors.forename: Vijay
authors.initials: V
authors.lastname: Mahajan
mesh_terms: D000328:Adult; D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D058386:Mitral Valve Annuloplasty / Q000379:methods*