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  • Title: [Reoperation through right thoracotomy for mitral regurgitation after coronary artery bypass grafting; report of a case].
    Author: Miura T, Sakaki M, Yasuoka T, Inoue K.
    Journal: Kyobu Geka; 2009 Sep; 62(10):912-5. PubMed ID: 19764500.
    Abstract:
    A 53-year-old male patient developed severe mitral regurgitation 6 years after coronary artery bypass grafting (CABG) with a left internal thoracic artery and 2 saphenous veins. The left ventriculography showed severe mitral regurgitation and slight decrease in left ventricular function. The coronary arteriography showed all grafts being patent. The median re-sternotomy was avoided because of the risk for injury of bypass grafts, and the right anterolateral thoracotomy was chosen. Mitral valve replacement was performed under moderate hypothermia and ventricular fibrillation without aortic cross clamping. The postoperative course was uneventful. Right anterolateral thoracotomy is considered to be a superior approach to the mitral valve surgery in the patients with previous CABG.
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