Mitral Valve Repair via a Minithoracotomy in a Patient With Pectus Excavatum

Hidenobu Takaki, Kazuma Okamoto, Mikihiko Kudo, Ryohei Yozu, Hideyuki Shimizu

Research output: Contribution to journalArticle

Abstract

Cardiac surgery in patients with pectus excavatum is challenging because of the difficulty associated with achieving optimal surgical exposure and postoperative sternal fixation by using standard instruments. To solve these problems, mitral valve repair was performed via a right minithoracotomy in a 48-year-old man with severe mitral valve regurgitation and pectus excavatum. With the use of conventional median sternotomy, an optimal surgical field was difficult to achieve because of his thoracic deformity. Therefore, surgical fixation via right minithoracotomy using particular equipment was performed. Using right minithoracotomy, we could obtain an optimal surgical field better than that with median sternotomy, and the patient's mitral valve regurgitation was fixed properly. This approach provides mitral valve exposure advantages as well as cosmetic satisfaction.

Original languageEnglish
Pages (from-to)67-69
Number of pages3
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume11
Issue number1
DOIs
Publication statusPublished - 2016 Jan 1

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Keywords

  • Funnel chest
  • Minimally invasive cardiac surgery
  • Minithoracotomy
  • Mitral valve repair
  • Pectus excavatum

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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