Document Detail

An approach to mitral valve surgery by a T-shaped mini-sternotomy with functioning bilateral internal thoracic artery grafts.
MedLine Citation:
PMID:  19784737     Owner:  NLM     Status:  MEDLINE    
We herein report successful surgical treatment of mitral valve regurgitation in a 49-year-old man. He was admitted to our hospital due to acute aggravation of dyspnea on effort. He had a surgical history of coronary artery bypass grafting with bilateral internal thoracic artery grafts. A transthoracic echocardiogram showed severely decreased cardiac function and severe mitral regurgitation due to anterolateral mitral valve leaflet prolapse. Computed tomography showed the right internal thoracic artery running over the front of the aorta to the left circumflex artery. To avoid injury to the functioning grafts during median sternotomy, we chose to perform an inferior T-shaped mini-sternotomy. The surgical field was sufficient to perform mitral valve replacement with a mechanical prosthetic valve under fibrillatory arrest. The grafts were neither dissected nor clamped, and access to the aorta and mitral valve was excellent.
Yosuke Takahashi; Yasushi Tsutsumi; Osamu Monta; Yasuyuki Kato; Keitaro Kohshi; Tomohiko Sakamoto; Hirokazu Ohashi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-09-27
Journal Detail:
Title:  Surgery today     Volume:  39     ISSN:  1436-2813     ISO Abbreviation:  Surg. Today     Publication Date:  2009  
Date Detail:
Created Date:  2009-09-28     Completed Date:  2010-01-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  922-4     Citation Subset:  IM    
Department of Cardiovascular Surgery, Fukui Cardiovascular Center, 2-228 Shinho, Fukui 910-0833, Japan.
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MeSH Terms
Coronary Artery Bypass / methods*
Heart Valve Prosthesis Implantation / methods*
Mammary Arteries / radiography
Middle Aged
Mitral Valve Insufficiency / surgery*
Sternotomy / methods*
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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