Reoperation after Coronary Artery Bypass Grafting; On-Pump Beating Heart Minimally Invasive Mitral Valve Replacement for Single Leaflet Device Attachment after MitraClip Placement

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  • Koga Tomonori
    Department of Cardiovascular Surgery, Sapporo Higashi Tokushukai Hospital
  • Hatanaka Noriyuki
    Department of Cardiovascular Surgery, Sapporo Higashi Tokushukai Hospital
  • Setogawa Yuuki
    Department of Cardiovascular Surgery, Sapporo Higashi Tokushukai Hospital
  • Ueda Takashi
    Department of Cardiovascular Surgery, Sapporo Higashi Tokushukai Hospital

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  • MitraClip 後の single leaflet device attachment（SLDA）に対して心拍動下で完全胸腔鏡下 MICS MVRを施行した CABG 術後の開心術再手術の1例

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Abstract

<p>A 50-year-old man with a history of coronary artery bypass grafting (CABG) 5 years prior to presentation underwent MitraClip placement for severe mitral regurgitation. Subsequently, he underwent on-pump beating heart endoscopic minimally invasive cardiac surgery (MICS) for mitral valve replacement for acute heart failure secondary to single leaflet device attachment. Endoscopic MICS via a right small thoracotomy approach is useful for reoperation after CABG in patients with a high risk of graft injury. Beating-heart surgery may be an effective option to avoid the risks associated with prolonged cardiac arrest time in patients with low left ventricular function.</p>

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