Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review

Redo cardiac surgery after Coronary Artery Bypass Grafting (CABG) is burdened by high morbidity and mortality, either intraoperatively and postoperatively, with the repeated sternotomy playing a crucial role as risk factor. The right minithoracotomy approach guarantees a safer control on conduits in...

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Main Authors: Laura Asta, Umberto Benedetto, Fabrizio Costantino Tancredi, Gabriele Di Giammarco
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/22/7096
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author Laura Asta
Umberto Benedetto
Fabrizio Costantino Tancredi
Gabriele Di Giammarco
author_facet Laura Asta
Umberto Benedetto
Fabrizio Costantino Tancredi
Gabriele Di Giammarco
author_sort Laura Asta
collection DOAJ
description Redo cardiac surgery after Coronary Artery Bypass Grafting (CABG) is burdened by high morbidity and mortality, either intraoperatively and postoperatively, with the repeated sternotomy playing a crucial role as risk factor. The right minithoracotomy approach guarantees a safer control on conduits integrity and the right ventricular wall and a low impact on the respiratory mechanics. Herein, we report a patient who previously underwent two CABG (coronary artery bypass grafting) procedures and who was admitted to the hospital with a picture of heart failure caused by a severe mitral regurgitation. He was successfully submitted to a mitral valve repair on a beating heart via the right minithoracotomy approach.
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spelling doaj.art-e135356647274aa1ac8431f4baffbc892023-11-24T14:49:27ZengMDPI AGJournal of Clinical Medicine2077-03832023-11-011222709610.3390/jcm12227096Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature ReviewLaura Asta0Umberto Benedetto1Fabrizio Costantino Tancredi2Gabriele Di Giammarco3Department of Cardiac Surgery, Tor Vergata University Hospital, 00133 Rome, ItalyDepartment of Cardiac Surgery, SS Annunziata Hospital, 66100 Chieti, ItalyDepartment of Cardiac Surgery, SS Annunziata Hospital, 66100 Chieti, ItalyDepartment of Cardiac Surgery, SS Annunziata Hospital, 66100 Chieti, ItalyRedo cardiac surgery after Coronary Artery Bypass Grafting (CABG) is burdened by high morbidity and mortality, either intraoperatively and postoperatively, with the repeated sternotomy playing a crucial role as risk factor. The right minithoracotomy approach guarantees a safer control on conduits integrity and the right ventricular wall and a low impact on the respiratory mechanics. Herein, we report a patient who previously underwent two CABG (coronary artery bypass grafting) procedures and who was admitted to the hospital with a picture of heart failure caused by a severe mitral regurgitation. He was successfully submitted to a mitral valve repair on a beating heart via the right minithoracotomy approach.https://www.mdpi.com/2077-0383/12/22/7096mitral valveredobeating heartminithoracotomy
spellingShingle Laura Asta
Umberto Benedetto
Fabrizio Costantino Tancredi
Gabriele Di Giammarco
Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review
Journal of Clinical Medicine
mitral valve
redo
beating heart
minithoracotomy
title Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review
title_full Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review
title_fullStr Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review
title_full_unstemmed Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review
title_short Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review
title_sort minimally invasive strategy to repair mitral valve after repeated coronary revascularization a case report and literature review
topic mitral valve
redo
beating heart
minithoracotomy
url https://www.mdpi.com/2077-0383/12/22/7096
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