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Katsuhiko Yoshida
Fumihiko Murakami
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Ann Thorac Surg 1995;60:708-709
© 1995 The Society of Thoracic Surgeons

Articles

Mitral valve replacement via right thoracotomy after coronary arterial grafting

MD Akihiko Usui*, MD Mitsuo Kawamura, MD Michiaki Hibi, MD Katsuhiko Yoshida, MD Fumihiko Murakami, MD Jinichi Iwase

Division of Cardiac Surgery, Owari Prefectural Hospital, Ichinomiya, Japan

Accepted for publication March 7, 1995.

* Address reprint requests to Dr Usui, 2-903 Umegaoka, Tenpaku-ku, Nagoya, Japan 468.

Mitral valve replacement was performed through a right thoracotomy using femorofemoral bypass under profound systemic hypothermia in a 62-year-old man who had undergone coronary artery bypass grafting using both internal thoracic arteries. The right thoracotomy approach minimizes the risk of injury to the arterial grafts, and deep hypothermia obviates the need to interrupt the grafts to administer cardioplegia. This technique provides excellent exposure of the mitral valve while minimizing the operative risk.




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