Minimally invasive cardio surgery for the patient with tracheostoma who has severe mitral valve regurgitation

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  • Inoue Akito
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Miyatani Kazuki
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Isa Hideki
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Suzuki Humitaka
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Setogawa Yuki
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Ookubo Ryo
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Hirohuji Aina
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Kunioka Shingo
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Tsutsui Masahiro
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Ishikawa Natsuya
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university
  • Kamiya Hiroyuki
    Division of cardiovascular surgery, deparment of surgery, Asahikawa medical university

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Other Title
  • 気管切開後の重症僧帽弁閉鎖不全症に対し低侵襲心臓手術を行った一例
  • キカン セッカイ ゴ ノ ジュウショウソウボウベン ヘイサ フゼンショウ ニ タイシ テイシンシュウシンゾウ シュジュツ オ オコナッタ イチレイ

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Minimally invasive cardiac surgery (MICS) is a helpful technique when you have to perform cardiac surgery for a patient with chronic tracheostomy. To avoid risk of sternal wound infection and mediastinitis, MICS may be a safer approach than medial sternotomy for tracheostomy patients. Here, we present a septuagenarian male patient. He was diagnosed with acute heart failure due to mitral valve regurgitation (MR) with such deteriorating general condition that a tracheostomy was necessary. After transfer to our hospital, Mitral Clip was performed for his MR, after which, he developed a fever from suspected infectious endocarditis (IE). We ultimately performed minimally invasive mitral valve plasty to eliminate the MR and treat the IE, without post operational complications.

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