01-11-2017 | Case Report
Concomitant septal myectomy during minimally invasive aortic valve replacement through a right mini-thoracotomy for the treatment of aortic stenosis with systolic anterior motion of the mitral valve
Published in: General Thoracic and Cardiovascular Surgery | Issue 11/2017
Login to get accessAbstract
This paper reports concomitant septal myectomy during minimally invasive aortic valve replacement through a right mini-thoracotomy. A 76-year-old woman was diagnosed as having aortic stenosis with systolic anterior motion of the mitral valve. The bulging septum was exposed by pulling up a traction suture placed at the annulus of the right coronary cusp; the anomalous chordae and muscle bundles attached to the septum were also resected. By setting an adequate intercostal thoracotomy and placing a traction suture, concomitant myectomy was safely performed even through a right mini-thoracotomy.