Superior trans-septal approach for minimally invasive mitral valve surgery via right small thoracotomy

Research output: Contribution to journalArticle

Abstract

Minimally invasive mitral valve surgery (MIMVS), despite its challenges, is not a rare procedure. However, MIMVS via a right small thoracotomy must be performed using long-shafted surgical instruments and thoracotomy instruments specialized for minimally invasive cardiac surgeries. We have performed 12 cases of MIMVS via right small thoracotomy using the superior trans-septal approach and secured a surgical visual field that easily allows a finger to reach the mitral valve annulus without using special instruments for minimally invasive cardiac surgery. We named this technique the “drawer-case technique.” In conclusion, MIMVS via right thoracotomy using the superior trans-septal approach can be performed easily and safely, similar to mitral valve surgery performed via median sternotomy.

Original languageEnglish
Pages (from-to)728-731
Number of pages4
JournalJournal of Cardiac Surgery
Volume34
Issue number8
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Thoracotomy
Mitral Valve
Minimally Invasive Surgical Procedures
Thoracic Surgery
Sternotomy
Visual Fields
Surgical Instruments
Fingers

Keywords

  • drawer-case technique
  • minimally invasive mitral valve surgery
  • right small thoracotomy
  • superior trans-septal approach

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Superior trans-septal approach for minimally invasive mitral valve surgery via right small thoracotomy",
abstract = "Minimally invasive mitral valve surgery (MIMVS), despite its challenges, is not a rare procedure. However, MIMVS via a right small thoracotomy must be performed using long-shafted surgical instruments and thoracotomy instruments specialized for minimally invasive cardiac surgeries. We have performed 12 cases of MIMVS via right small thoracotomy using the superior trans-septal approach and secured a surgical visual field that easily allows a finger to reach the mitral valve annulus without using special instruments for minimally invasive cardiac surgery. We named this technique the “drawer-case technique.” In conclusion, MIMVS via right thoracotomy using the superior trans-septal approach can be performed easily and safely, similar to mitral valve surgery performed via median sternotomy.",
keywords = "drawer-case technique, minimally invasive mitral valve surgery, right small thoracotomy, superior trans-septal approach",
author = "Masataka Yamazaki and Akihiro Yoshitake and Tatsuo Takahashi and Tsutomu Ito and Naritaka Kimura and Hideyuki Shimizu",
year = "2019",
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AU - Yamazaki, Masataka

AU - Yoshitake, Akihiro

AU - Takahashi, Tatsuo

AU - Ito, Tsutomu

AU - Kimura, Naritaka

AU - Shimizu, Hideyuki

PY - 2019/1/1

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