Left Thoracotomy: An Ideal Approach for Mitral Valve Replacement in Patient With Severe Chest Wall Deformity

Dextrocardia with situs solitus and severe mitral regurgitation is a rare clinical presentation which posse a surgical challenge and requires specific preoperative planning. A 54-year-old women with this anatomy, multiple thoracic procedures, and severe mitral valve regurgitation underwent successful mitral valve replacement with a 27-mm mechanical prosthesis through a left thoracotomy under ventricular fibrillation, on the basis of computed tomography findings. We emphasize the importance of preoperative planning and a surgical approach through a left thoracotomy and under ventricular fibrillation.

Download Full-text

Combined TMR and Mitral Valve Replacement via Left Thoracotomy

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(98)00051-4 ◽

1998 ◽

Vol 65 (4) ◽

pp. 1141-1143 ◽

Cited By ~ 7

Author(s):

G.Chad Hughes ◽

Carolyn L. Donovan ◽

James E. Lowe ◽

Kevin P. Landolfo

Keyword(s):

Mitral Valve ◽

Valve Replacement ◽

Mitral Valve Replacement ◽

Left Thoracotomy

Download Full-text

Galactorrhea Following Minimally Invasive Reoperative Mitral Valve Replacement: An Unexpected Complication

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1177/1556984520909800 ◽

2020 ◽

Vol 15 (2) ◽

pp. 177-179

Author(s):

Jonathan M. Hemli ◽

Simrit K. Uppal ◽

Karthik Seetharam ◽

Julie Delianides ◽

Luigi Pirelli ◽

...

Keyword(s):

Cardiac Surgery ◽

Mitral Valve ◽

Minimally Invasive ◽

Thoracic Surgery ◽

Female Patient ◽

Chest Wall ◽

Valve Replacement ◽

Mitral Valve Replacement ◽

Rare Complication ◽

Unique Case

Galactorrhea, or nonpuerperal lactation, is a rare complication that can occur after trauma to the chest wall. Although galactorrhea has been reported after thoracic surgery, it has not been previously noted as a potential outcome following cardiac surgery. We present a unique case of hyperprolactinemic galactorrhea experienced by a 39-year-old nongravid female patient after having undergone reoperative mitral valve replacement via a right minithoracotomy. To the best of our knowledge, this is the first reported case of spontaneous lactation occurring after cardiac surgery.

Download Full-text

Transapical Mitral Valve-in-Valve Replacement in Patient with Previous Complex Sternal Reconstruction

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000275 ◽

2016 ◽

Vol 11 (3) ◽

pp. 222-224

Author(s):

Conor F. Hynes ◽

Omid Fatemi ◽

Aditya C. Sharma ◽

Christian D. Nagy ◽

Gregory D. Trachiotis

Keyword(s):

Mitral Valve ◽

Chest Wall ◽

Valve Replacement ◽

Mitral Valve Replacement ◽

Chest Wall Reconstruction ◽

Complex Case ◽

Viable Solution ◽

Sternal Reconstruction ◽

Valve In Valve ◽

Mitral Bioprosthesis

We present a complex case of a transapical redo mitral valve-in-valve replacement. Repeat mitral valve replacement was indicated for severe symptomatic bioprosthetic stenosis. In addition to the patient's numerous comorbidities that included diabetes, hepatic cirrhosis, ischemic cardiomyopathy, and atrial flutter, he had undergone a previous open mitral valve replacement that was complicated by sternal dehiscence requiring extensive chest wall reconstruction. Transapical approach was performed through left minithoracotomy incision with balloon-expandable valve. Transapical valve-in-valve replacement of a stenotic mitral bioprosthesis is a viable solution in a patient with previous complex chest wall reconstruction and multiple comorbidities.

Download Full-text