Related Experiment Video
Updated: Jun 2, 2026
08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Redo mitral valve operation via right minithoracotomy--"no touch" technique
Tadashi Kitamura1, Robert G Stuklis, James Edwards
1Department of Cardiothoracic Surgery, University of Tokyo Hospital, Hongo, Bunkyo-ku, Tokyo, Japan.
International Heart Journal
|April 13, 2011
Summary
Minimally invasive beating heart mitral valve surgery via right minithoracotomy is a safe option for patients with prior cardiac operations. This approach demonstrated no early mortality or stroke in an initial series.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Cardiac Surgery
- Mitral Valve Repair and Replacement
Background:
- Previous cardiac operations present challenges for mitral valve surgery.
- Redo sternotomy carries increased risks.
- Minimally invasive approaches may offer advantages in redo cases.
Purpose of the Study:
- To evaluate the safety and efficacy of minimally invasive beating heart mitral valve surgery in patients with previous cardiac operations.
- To assess early outcomes including mortality and stroke.
- To determine the feasibility of the
- No Touch
- technique in redo mitral valve surgery.
Main Methods:
- Retrospective review of five patients undergoing minimally invasive beating heart mitral valve surgery via right minithoracotomy.
- Cardiopulmonary bypass established via femoral artery and vein.
- Aortic no-touch technique used, with left atriotomy without pericardial dissection.
Main Results:
- No early mortality or confirmed stroke observed in the series.
- Three out of five patients showed improved New York Heart Association functional class post-surgery.
- One late mortality due to renal failure in a patient with ischemic mitral regurgitation.
Conclusions:
- Minimally invasive beating heart redo mitral valve surgery through right minithoracotomy is a safe initial approach.
- The technique avoids aortic cannulation and clamping, potentially reducing complications.
- Further studies are warranted to confirm long-term outcomes.
Related Concept Videos
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:25Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...