title: Minimally invasive valve surgery with bypass to the right coronary artery.
abstract: Herein, we report the case of a 60-year-old woman who presented with increasing dyspnea on exertion. Echocardiography revealed significant aortic and mitral regurgitation, which were most likely secondary to previous radiation therapy for breast cancer. On cardiac catheterization a 90% ostial right coronary artery lesion was found and treated with a drug-eluting stent. During minimally invasive valve surgery, via a right anterior thoracotomy, it was noted that the stent had restenosed. Therefore, the right coronary artery was bypassed with a segment of venous graft through the same incision.
authors.affiliation: From the *Division of Cardiac Surgery, and †Columbia University Division of Cardiology, Mount Sinai Heart Institute, Miami Beach, FL USA.
authors.forename: Devendra
authors.initials: D
authors.lastname: Joshi
authors.forename: Orlando
authors.initials: O
authors.lastname: Santana
authors.forename: Angelo
authors.initials: A
authors.lastname: LaPietra
authors.forename: Joseph
authors.initials: J
authors.lastname: Lamelas
mesh_terms: D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D004452:Echocardiography; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*