Mitral Valve Repair via a Minithoracotomy in a Patient with Pectus Excavatum
| Autor: | Hidenobu Takaki, Ryohei Yozu, Kazuma Okamoto, Hideyuki Shimizu, Mikihiko Kudo |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Pectus excavatum Mitral valve Internal medicine Minimally invasive cardiac surgery medicine Humans Thoracotomy Heart Valve Prosthesis Implantation Mitral valve repair business.industry Mitral Valve Insufficiency General Medicine Middle Aged medicine.disease Cardiac surgery Surgery Treatment Outcome medicine.anatomical_structure 030228 respiratory system Median sternotomy Funnel Chest Surgical Fixation Devices Cardiology Cardiology and Cardiovascular Medicine Mitral valve regurgitation business |
| Zdroj: | Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery. 11:67-69 |
| ISSN: | 1559-0879 1556-9845 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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