Halleux D, Tchana-Sato V, Lavigne J P, Hans G, Lagny M G, Defraigne J O, Radermecker M A
Service de Chirurgie cardiovasculaire, CHU Liège, Belgique.
Service d'Anesthésie, CHU Liège, Belgique.
Rev Med Liege. 2022 Sep;77(9):500-504.
Compared to median sternotomy, the potential benefits of minimally invasive single aortic or mitral valve surgery include reduction of blood loss, lower morbidity, and shorter intensive care unit and hospital length of stay. However, there are few reports regarding concomitant aortic and mitral valves minimally invasive surgery via mini-thoracotomy. To the authors knowledge, this is the first report in the Liege area, of a successful minimally invasive right latero-thoracic approach for aortic and mitral valve surgery in a 78-year old woman who presented severe and symptomatic aortic stenosis and mitral insufficiency. In addition to the description of the surgical approach, the authors will summarize the current literature on this approach, as well as the clinical evolution of the patient.