Redo Mitral Valve Surgery Via a Right Thoracotomy with Heart-Lung Machine: Presentation of Two Cases
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چکیده
The rate of redo surgeries are increasing on account of previously performed coronary artery bypass graft surgeries, aortic/ mitral valve replacement surgeries due to valve stenosis/ regurgitation, mitral valve repair for ischemic mitral regurgitation, the aging in the population, mechanical valve thrombosis and wearing out of the mechanical valves.Resternotomy, anterolateral right thoracotomy or anterolateral left thoracotomy can be prefered for redo mitral valve surgery. Redo on pump beating heart mitral valve surgery via a anterolateral right thoracotomy is safer and reduces the injury risk of patent grafts, adherent tissues and ventricles. Here we present redo mitral valve replacement of the two patients via anterolateral right thoracotomy.
منابع مشابه
Right anterolateral thoracotomy: an attractive alternative to repeat sternotomy for high-risk patients undergoing reoperative mitral and tricuspid valve surgery
BACKGROUND Reoperative cardiac valve surgery via sternotomy is associated with a substantial morbidity and mortality. This study evaluated the right anterolateral thoracotomy for high-risk patients undergoing mitral and tricuspid valve redo procedures. METHODS Out of a series of 173 patients undergoing redo cardiac valve surgery, 24 patients were reoperative via the right anterolateral thorac...
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Redo mitral valve (MV) surgery via sternotomy in the presence of dense adhesions can be associated with significant complications:including injuries to the heart:great vessels and patent coronary artery grafts:that can increase morbidity and mortality. Although less likely to occur during minimally invasive MV surgery:adhesion-related injuries can be more difficult to repair because of limited ...
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surgery and MVS. We concluded that the beating heart method was a safe alternative to conventional surgery in redo operations in high-risk groups in particular w15x. Re-operation via the right thoracotomy has become popular because of the difficulties stated above concerning re-operations. We preferred thoracotomy in patients requiring re-operative sternotomy as the right anterolateral thora-co...
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Objective Reoperative mitral valve surgery is increasingly required and can be associated with significant morbidity and mortality. The beating heart minimally invasive mitral valve surgery has a proposed benefit in avoiding the risks of repeat sternotomy, with reducing the need for adhesiolysis and cardioplegia reperfusion injury. We describe our experience with such a technique in patients wi...
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OBJECTIVE Repeat median sternotomy is a potentially dangerous technique providing variable but mainly poor access to the mitral valve. Right thoracotomy is an alternative route previously used to access the mitral valve in the early years of cardiac surgery that offers the advantage of a fresh surgical field in the context of redo surgery. We have reviewed our experience with mitral prosthetic ...
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