title: Mitral valve repair after a right pneumonectomy: a minimally invasive approach.
abstract: A 31-year old man was admitted to our unit with severe mitral regurgitation secondary to infective endocarditis on a background of a right pneumonectomy performed 8 years previously for a central carcinoid tumour. A previous right thoracotomy for lung resection is considered a contraindication to a minimal access approach to the mitral valve. Following the right pneumonectomy, a left-to-right displacement of the mediastinum had occurred. We report our experience on performing a mitral valve repair through a right mini-thoracotomy in a patient who had undergone a right pneumonectomy. In this case, three-dimensional computed tomography reconstructions were used to guide our surgical approach. We hope that this case presentation will help further broaden the applicability of a thru-port approach to this rare subgroup of patients.
authors.affiliation: Lancashire Cardiac Centre, Blackpool, Lancashire, UK davidrose@libero.it.
authors.forename: David
authors.initials: D
authors.lastname: Rose
authors.affiliation: Radiology Department, Blackpool Victoria Hospital, Blackpool, UK.
authors.forename: Chee K
authors.initials: CK
authors.lastname: Liew
authors.affiliation: Lancashire Cardiac Centre, Blackpool, Lancashire, UK.
authors.forename: Joseph
authors.initials: J
authors.lastname: Zacharias
mesh_terms: D000328:Adult; D002276:Carcinoid Tumor / Q000601:surgery; D000075202:Contraindications; D004696:Endocarditis / Q000150:complications / Q000188:drug therapy; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D061330:Multidetector Computed Tomography; D010496:Pericardium / Q000637:transplantation; D011013:Pneumonectomy; D013908:Thoracotomy; D014463:Ultrasonography
keywords: Minimally invasive surgery; Mitral valve; Pneumonectomy