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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Mitral Valve Repair Through a Right Mini-Thoracotomy After Retrosternal Esophageal Reconstruction
Koki Ikemoto1, Akiyuki Takahashi1, Kazunari Ohkawa1
1Department of Cardiovascular Surgery, Japanese Red Cross Society Kyoto Daiichi Hospital, Kyoto, Japan.
Annals of Thoracic Surgery Short Reports
|October 30, 2025
Summary
Median sternotomy poses risks for patients with retrosternal neo-esophageal conduits. A right mini-thoracotomy successfully repaired mitral valve regurgitation, avoiding conduit injury in this case.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Medical Case Reports
Background:
- Median sternotomy is a common surgical approach but presents challenges in patients with prior retrosternal reconstruction, such as neo-esophageal conduits.
- Injury to a retrosternal neo-esophageal conduit during sternotomy can lead to significant complications.
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