小切口伴随主动脉瓣和二尖瓣手术-微创

This is a case of a 69-year-old female patient who presented to the emergency room with epigastric pain and dyspnea upon exertion. Her initial work-up was for gastrointestinal disease which was inconclusive. A cardiac work-up was performed. A cardiac catheterization demonstrated a high grade lesion of the proximal left anterior descending artery. Percutaneous coronary intervention with a drug eluting stent was successfully performed. An echocardiogram was also performed which demonstrated a 40% ejection fraction. There was severe aortic stenosis with a peak/mean gradient of 68/45 mmHg, respectively. In addition, she had severe mitral regurgitation with a posteriorly directed jet and moderate mitral annular calcification. She underwent a minimally invasive, minithoracotomy aoritc valve replacement and a complex mitral valve repair.

Video Chapters
00:00:27 Clinical vignette
00:01:23 Exposition
00:02:48 Cardiopulmonary bypass and visualization
00:04:56 Left atriotomy
00:06:10 Mitral valve repair
00:13:48 Aortic valve replacement
00:22:42 Completion


Cite this article as: Lamelas J. Concomitant minithoracotomy aortic and mitral valve surgery: the minimally invasive “Miami Method”. Ann Cardiothorac Surg 2015;4(1):85-87. doi: 10.3978/j.issn.2225-319X.2014.09.14

                               
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