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Updated: Jan 20, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
A Clean Cut: Minimally Invasive Mitral Valve Replacement after Heart Transplantation
Jamila Kremer1, Sameer Saeed Ahmed Al-Maisary1, Gábor Szabó1
1Department of Cardiac Surgery, Universitatsklinikum Heidelberg Chirurgische Klinik, Heidelberg, Germany.
Abstract:
A 50-year-old female presented with progressive heart failure due to obstruction of the mitral valve after heart transplantation in 2008. Through the occlusion catheter (IntraClude Intra-Aortic Occlusion Device), aortic cross-clamping, antegrade cardioplegia, and aortic root venting were performed. Our case reports the first published study on minimally invasive mitral valve replacement for valve stenosis through intraluminal aortic clamping. The hazard of traumatic injuries can be reduced by avoiding resternotomy and circumventing adhesions between the aorta and the pulmonary artery after heart transplantation. Minimally invasive valve surgery is a safe and effective method with regard to short- and long-term results, especially in redo operations.
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