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Updated: May 8, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Left thoracotomy: an ideal approach for mitral valve replacement in patient with severe chest wall deformity
Juan G Bastidas1, Anees J Razzouk, Nahidh W Hasaniya
1Department of Cardiovascular and Thoracic Surgery, Loma Linda University Medical Center, Loma Linda, California 92354, USA.
Abstract:
We report a 65-year-old woman with chronic diastolic congestive heart failure, pulmonary hypertension, and severe mitral valve regurgitation. She was not a candidate for percutaneous mitral valve repair and was turned down for an open heart operation by 2 institutions based on her severe pectus excavatum deformity. A left posterior lateral thoracotomy approach provided excellent exposure for central cannulation and replacement of the mitral valve.
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