ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Mitral regurgitation in a patient with Noonan syndrome: re-do mitral valve repair via mini-thoracotomy
Pil Je Kang, Hyung Gon Je, Sang Kwon Lee
Department of Cardiovascular and Thoracic Surgery, Yangsan Hospital, Pusan National University, Yangsan, Gyeongnam, Korea
DOI : 10.5606/tgkdc.dergisi.2014.9545
In this article, we present a 38-year-old male case with Noonan syndrome who underwent repair for an atrial septal defect (ASD) at the age of 14. Severe mitral regurgitation, mild tricuspid regurgitation, and residual ASD were detected on echocardiography. As repeated sternotomy was hindered by a severely dilated cardiac chamber with retrosternal adhesion and a suprasternally located aortic arch, we performed a right anterolateral thoracotomy approach with peripheral cannulation. This minimally invasive approach may be an optimal alternative for early recovery in patients with these characteristics.
Keywords : Minimally invasive; mitral regurgitation; Noonan syndrome
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