title: Minimally invasive mitral valve replacement in a patient with previous omphalocele repair and severe scoliosis.
abstract: Mitral valve surgery in a patient with severe chest deformity and poor respiratory function can be associated with a high risk due to difficult access and postoperative respiratory failure. A 45-year-old man with scoliosis and respiratory dysfunction who had undergone previous omphalocele repairs presented with severe mitral regurgitation. Mitral valve replacement via right mini-thoracotomy was successfully performed. The minimally invasive approach was considered useful in this patient with anatomical difficulty and respiratory dysfunction.
authors.affiliation: Cardiothoracic Surgical Unit, Royal Adelaide Hospital, Adelaide, Australia. funcorogash@hotmail.com
authors.forename: Tadashi
authors.initials: T
authors.lastname: Kitamura
authors.forename: James
authors.initials: J
authors.lastname: Edwards
authors.forename: Robert G
authors.initials: RG
authors.lastname: Stuklis
authors.forename: Michael A
authors.initials: MA
authors.lastname: Brown
mesh_terms: D019918:Heart Valve Prosthesis Implantation; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D012600:Scoliosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D012720:Severity of Illness Index; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome