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Updated: Jun 6, 2026
08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Minimally invasive combined aortic and mitral valve replacement
Pragnesh Joshi1, Chirag Doshi, Mahesh Vinchurkar
1Dept. of Minimally Invasive Cardiac Surgery, CARE Hospital - The Heart Institute, Athwagate, Surat 395001, Gujarat, India. pragnesh joshi@yahoo.com
Heart, Lung & Circulation
|December 15, 2010
Summary
This study presents a minimally invasive technique for combined aortic and mitral valve replacement (DVR) in rheumatic valve disease patients. The approach offers excellent outcomes without requiring specialized instruments, making it easily reproducible.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Cardiac Surgery
Background:
- Rheumatic valve disease often necessitates complex valve interventions.
- Conventional combined aortic and mitral valve replacement (DVR) can be invasive.
Purpose of the Study:
- To describe a minimally invasive technique for combined aortic and mitral valve replacement (DVR).
- To evaluate the feasibility and outcomes of this approach in patients with rheumatic valve disease.
Main Methods:
- A novel minimally invasive approach using a small sternal incision (approx. 5 cm) with a partial sternal split and 'J' extension.
- The technique allows access to both mitral and aortic valves without major modifications to conventional procedures.
Main Results:
- Combined aortic and mitral valve replacement was performed with ease and excellent outcomes.
- The technique was successfully applied in 17 patients.
- No special instrumentation was required, indicating reproducibility.
Conclusions:
- This minimally invasive technique provides an effective and reproducible method for combined aortic and mitral valve replacement in rheumatic valve disease.
- The approach simplifies the procedure, offering excellent outcomes without specialized equipment.
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