The Heart Surgery Forum, Volume 8, Issue 1

Reexamining Contraindications for Minimally Invasive Mitral Valve Surgery

Clifton C. Reade, MD,¹ Curtis E. Bower, MD,¹ Alan P. Kypson, MD,¹ L. Wiley Nifong, MD,¹ William A. Wooden, MD, FACS,² W. Randolph Chitwood Jr, MD, FACS, FRCS (Eng)¹

Divisions of ¹Cardiothoracic and Vascular Surgery, ²Plastic and Reconstructive Surgery, The Brody School of Medicine at East Carolina University, Greenville, North Carolina, USA

View supplemental Quicktime movie: Movie 1 (12.6 MB)

ABSTRACT

Historically, contraindications to minimally invasive or robotic mitral valve surgery have included prior mastectomy, thoracic reconstruction, or chest radiation. However, we believe that by granting flexibility in the choice of skin incision site while performing careful dissection, surgeons can provide these patients the outstanding results afforded by a minithoracotomy. We present a patient who had undergone a prior mastectomy and radiation treatment in whom we performed a minimally invasive mitral valve repair through a right-sided minithoracotomy using the previous mastectomy incision.

Click here for a PDF
version of the full article.
(Subscribers Only)