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A 51-year-old male was admitted to our Institution with a complaint of dyspnea on effort. He had undergone coronary artery bypass grafting and mitral valve annuloplasty three years previously. The left ventriculograms showed severe mitral regurgitation. The coronary angiograms revealed an ITA graft and two SVG grafts were fully functioning. Considering the risk of injury of ITA/SVG graft during redo median sternotomy, we approached the heart through right anterolateral thoracotomy. Mitral valve replacement was performed under profound hypothermia without aortic cross clamping. Temporary reduction of perfusion flow was useful in order to obtain a better visual field. His postoperative course was uneventful. Right thoracotomy has an advantage over median sternotomy when reoperation is to be done for patients with a functioning ITA graft.
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
June 2001,
The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi,
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
June 2007,
Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology,
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
May 1995,
Kyobu geka. The Japanese journal of thoracic surgery,
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
August 2014,
Multimedia manual of cardiothoracic surgery : MMCTS,
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
July 2000,
Kyobu geka. The Japanese journal of thoracic surgery,
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
December 1996,
The Journal of cardiovascular surgery,
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
January 1993,
Texas Heart Institute journal,
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
May 2003,
Heart and vessels,
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
January 1996,
Texas Heart Institute journal,
K Tanaka, and
Y Kotsuka, and
T Kohno, and
T Takaoka, and
A Furuse
June 2010,
The Thoracic and cardiovascular surgeon,
