Reoperation after Coronary Artery Bypass Grafting; On-Pump Beating Heart Minimally Invasive Mitral Valve Replacement for Single Leaflet Device Attachment after MitraClip Placement
- VernacularTitle:MitraClip 後の single leaflet device attachment（SLDA）に対して心拍動下で完全胸腔鏡下 MICS MVRを施行した CABG 術後の開心術再手術の1例
- Author:
Tomonori KOGA
1
;
Noriyuki HATANAKA
1
;
Yuuki SETOGAWA
1
;
Takashi UEDA
1
Author Information
- Keywords: redo surgery; MICS; beating heart; SLDA; MitraClip
- From:Japanese Journal of Cardiovascular Surgery 2022;51(2):110-113
- CountryJapan
- Language:Japanese
- Abstract: A 50-year-old man with a history of coronary artery bypass grafting (CABG) 5 years prior to presentation underwent MitraClip placement for severe mitral regurgitation. Subsequently, he underwent on-pump beating heart endoscopic minimally invasive cardiac surgery (MICS) for mitral valve replacement for acute heart failure secondary to single leaflet device attachment. Endoscopic MICS via a right small thoracotomy approach is useful for reoperation after CABG in patients with a high risk of graft injury. Beating-heart surgery may be an effective option to avoid the risks associated with prolonged cardiac arrest time in patients with low left ventricular function.
