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10.5606/tgkdc.dergisi.2011.097
Mitral valve replacement in beating heart through right thoracotomy: a safe option for reoperation
İbrahim Gökşin, Ali Vefa Özcan, Münevver Dereli, Bilgin Emrecan
Department of Cardiovascular Surgery, Medicine Faculty of Pamukkale University, Denizli
DOI : 10.5606/tgkdc.dergisi.2011.097
Resternotomy after coronary artery bypass grafting (CABG)
is a highly challenging situation, especially in the presence
of patent grafts. Cardiac injury, bleeding, injury of a patent
graft, especially such as the internal thoracic artery, and
the difficulty of resternotomy are major problems that may
increase morbidity and mortality in these patients. In this
article we present a 61-year-old male patient with a previous
CABG surgery who had mitral valve replacement on beating
heart with the aid of cardiopulmonary bypass. On-pump
beating heart normothermic mitral valve replacement
without cross-clamping the aorta through right anterolateral
thoracotomy is a simple and safe procedure. We think
that this procedure may be a good option for reoperation
especially in patients with patent bypass grafts.
Keywords : Beating heart; mitral valve; resternotomy; thoracotomy
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