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Updated: Jun 6, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Combined minimally invasive direct coronary artery bypass with video-assisted thoracoscopic surgery thymectomy via
Leng Khoong Lee1, Marco Lizwan2, Kim Chai Chua2
1Duke-NUS Medical School, Singapore, Singapore. lklee@u.duke.nus.edu.
Abstract:
Minimally invasive surgery (MIS) has become increasingly prevalent across almost all surgical specialties, including cardiothoracic surgery. However, combined MIS for coronary artery bypass and thymectomy in a single sitting has not been previously documented. We report a case of a 61-year-old male with coronary artery disease and anterior mediastinal nodules who underwent both minimally invasive direct coronary artery bypass (MIDCAB) and video-assisted thoracoscopic surgery (VATS) thymectomy via left anterolateral mini-thoracotomy. He was discharged on post-operative day 3. In well-selected patients, performing concomitant MIDCAB and VATS thymectomy through the same incisions is safe and feasible, and significantly reduces hospitalisation duration.

