TY - JOUR
T1 - Superior trans-septal approach for minimally invasive mitral valve surgery via right small thoracotomy
AU - Yamazaki, Masataka
AU - Yoshitake, Akihiro
AU - Takahashi, Tatsuo
AU - Ito, Tsutomu
AU - Kimura, Naritaka
AU - Shimizu, Hideyuki
N1 - Publisher Copyright:
© 2019 Wiley Periodicals, Inc.
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - drawer-case technique
KW - minimally invasive mitral valve surgery
KW - right small thoracotomy
KW - superior trans-septal approach
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U2 - 10.1111/jocs.14101
DO - 10.1111/jocs.14101
M3 - Article
C2 - 31231856
AN - SCOPUS:85070901641
VL - 34
SP - 728
EP - 731
JO - Journal of Cardiac Surgery
JF - Journal of Cardiac Surgery
SN - 0886-0440
IS - 8
ER -