title: Left thoracotomy: an ideal approach for mitral valve replacement in patient with severe chest wall deformity.
abstract: We report a 65-year-old woman with chronic diastolic congestive heart failure, pulmonary hypertension, and severe mitral valve regurgitation. She was not a candidate for percutaneous mitral valve repair and was turned down for an open heart operation by 2 institutions based on her severe pectus excavatum deformity. A left posterior lateral thoracotomy approach provided excellent exposure for central cannulation and replacement of the mitral valve.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Loma Linda University Medical Center, Loma Linda, California 92354, USA.
authors.forename: Juan G
authors.initials: JG
authors.lastname: Bastidas
authors.forename: Anees J
authors.initials: AJ
authors.lastname: Razzouk
authors.forename: Nahidh W
authors.initials: NW
authors.lastname: Hasaniya
authors.forename: Leonard L
authors.initials: LL
authors.lastname: Bailey
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass / Q000379:methods; D002405:Catheterization, Central Venous / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000175:diagnosis* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D018570:Risk Assessment; D012720:Severity of Illness Index; D035441:Thoracic Wall / Q000601:surgery; D013908:Thoracotomy / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography
keywords: 35