Mitral Valve Replacement via Anterolateral Right Thoracotomy without Cross-Clamping in a Patient with Fungal Infective Endocarditis and Functioning Internal Mammary Artery after Previous Coronary Artery Bypass Grafting and Mitral Valve Repair

Authors

  • Takahiro Taguchi Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima
  • Jeswant Dillon Department of Cardiothoracic Surgery, National Heart Institute, Kuala Lumpur
  • Mohd Azhari Yakub Department of Cardiothoracic Surgery, National Heart Institute, Kuala Lumpur

DOI:

https://doi.org/10.1532/hsf.1359

Abstract

A 55-year-old man developed severe mitral regurgitation with persistent fungal infective endocarditis 8 months after coronary artery bypass grafting with a left internal mammary artery and 2 saphenous veins, as well as mitral valve repair with a prosthetic ring. Echocardiography demonstrated severe mitral regurgitation and a valvular vegetation. Computed tomography coronary arteriography indicated that all grafts were patent and located intimately close to the sternum. Median resternotomy was not attempted due to the risk of injury to the bypass grafts, and therefore, a right anterolateral thoracotomy approach was utilized. Mitral valve replacement was performed with the patient under deep hypothermia and ventricular fibrillation without aortic cross-clamping. The patient`s postoperative course was uneventful. Thus, right anterolateral thoracotomy may be a superior approach to mitral valve surgery in patients who have undergone prior coronary artery bypass grafting.

Author Biography

Takahiro Taguchi, Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima

M.D. belongs to Cardiovascular department

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Published

2016-02-24

How to Cite

Taguchi, T., Dillon, J., & Yakub, M. A. (2016). Mitral Valve Replacement via Anterolateral Right Thoracotomy without Cross-Clamping in a Patient with Fungal Infective Endocarditis and Functioning Internal Mammary Artery after Previous Coronary Artery Bypass Grafting and Mitral Valve Repair. The Heart Surgery Forum, 19(1), E033-E035. https://doi.org/10.1532/hsf.1359

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