Reexamining Contraindications for Minimally Invasive Mitral Valve Surgery


  • Clifton C. Reade
  • Curtis E. Bower
  • Alan P. Kypson
  • L. Wiley Nifong
  • William A. Wooden
  • W. Randolph Chitwood, Jr



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.


Casselman FP, Slycke SV, Dom H, Lambrechts DL, Vermeulen Y, Vanerman H. 2003. Endoscopic mitral valve repair: feasible, reproducible, and durable. J Thorac Cardiovasc Surg 124:273-82.nFelger JE, Chitwood Jr WR, Nifong LW, Holbert D. 2001. Evolution of mitral valve surgery: toward a totally endoscopic approach. Ann Thorac Surg 72:203-9.nTribble CG, Killinger WA, Harman PK, Crosby IK, Nolan SP, Kron IL. 1987. Anterolateral thoracotomy as an alternative to repeat median sternotomy for replacement of the mitral valve. Ann Thorac Surg 43:380-2.n



How to Cite

Reade, C. C., Bower, C. E., Kypson, A. P., Nifong, L. W., Wooden, W. A., & Chitwood, Jr, W. R. (2005). Reexamining Contraindications for Minimally Invasive Mitral Valve Surgery. The Heart Surgery Forum, 7(6), E571-E573.