Tareq Aleinati
Chest Diseases Hospital, Kuwait
Title: Surgical treatment of triple heart valve disease with concomitant CryoMaze through right anterior mini-thoracotomy is feasible
Biography
Biography: Tareq Aleinati
Abstract
The full-length median sternotomy is the standard approach for single, double and triple valve operations. Right anterior mini-thoracotomy is a well-known minimal access approach for isolated aortic valve replacement or combined aortic and mitral valve surgeries. However, replacing or repairing three valves with concomitant CryoMaze through such an access is not well established. We hereby describe a case of 49 year-old male patient with rheumatic heart disease and a large left atrium associated with permanent atrial fibrillation. He underwent a successful aortic and mitral valve replacement with tricuspid valve repair and concomitant left atrial Maze using argon based Cryo-ablation through right anterior minithoracotomy. This was approached via the 3rd intercostal space with establishment of cardiopulmonary bypass through peripheral arterial and venous cannulation. Post-operative Echo showed good results and six months later the patient continues to be in normal sinus rhythm. The patient regained full functional capacity in four weeks post-operatively. Thus, we have shown that performing such a complex procedure through minimal access is feasible with successful outcomes.