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Superior trans‐septal approach for minimally invasive mitral valve surgery via right small thoracotomy
Author(s) -
Yamazaki Masataka,
Yoshitake Akihiro,
Takahashi Tatsuo,
Ito Tsutomu,
Kimura Naritaka,
Shimizu Hideyuki
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14101
Subject(s) - medicine , thoracotomy , minimally invasive cardiac surgery , surgery , median sternotomy , mitral valve , cardiac surgery
Minimally invasive mitral valve surgery (MIMVS), despite its challenges, is not a rare procedure. However, MIMVS via a right small thoracotomy must be performed using long‐shafted surgical instruments and thoracotomy instruments specialized for minimally invasive cardiac surgeries. We have performed 12 cases of MIMVS via right small thoracotomy using the superior trans‐septal approach and secured a surgical visual field that easily allows a finger to reach the mitral valve annulus without using special instruments for minimally invasive cardiac surgery. We named this technique the “drawer‐case technique.” In conclusion, MIMVS via right thoracotomy using the superior trans‐septal approach can be performed easily and safely, similar to mitral valve surgery performed via median sternotomy.