二尖瓣手术和单次左前小开胸多血管冠脉搭桥。

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Thoracic and Cardiovascular Surgeon Pub Date : 2026-09-01 Epub Date: 2025-12-05 DOI:10.1055/a-2765-7072

Volodymyr Demianenko, Hilmar Dörge, Markus Schlömicher, Marius Grossmann, Ahmed Belmenai, Christian Sellin

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引用次数: 0

摘要

我们描述了一种合并冠状动脉旁路移植术（CABG）和二尖瓣置换术或环成形术，通过单次左前小开胸术（LAmT）进行环植入术。4例患者采用外周体外循环、经间隔入路至中室和完全冠状动脉血运重建术进行中室和冠脉搭桥联合手术。所有病例均成功地进行了MV暴露，没有转到胸骨切开术。无卒中、出血再手术、早期死亡等重大并发症。我们的初步结果表明，对于需要同时进行冠状动脉和二尖瓣手术的患者，单次LAmT是一种可行的胸骨保留方法。

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Mitral Valve Procedures and Multivessel CABG through a Single Left Anterior Minithoracotomy.

Abstract: We describe a technique for concomitant coronary artery bypass grafting (CABG) and mitral valve (MV) replacement or annuloplasty with ring implantation performed through a single left anterior minithoracotomy (LAmT). Four patients underwent combined MV and CABG surgery using peripheral cardiopulmonary bypass, a transseptal approach to the MV, and complete coronary revascularization. MV exposure was successfully achieved in all cases without conversion to sternotomy. No major complications such as stroke, reoperation for bleeding, or early mortality occurred. Our initial results demonstrate that single LAmT is a feasible sternum-sparing approach for patients requiring simultaneous coronary and mitral procedures.

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来源期刊

Thoracic and Cardiovascular Surgeon 医学-呼吸系统

CiteScore

3.40

自引率

6.70%

发文量

365

审稿时长

3 months

期刊介绍： The Thoracic and Cardiovascular Surgeon publishes articles of the highest standard from internationally recognized thoracic and cardiovascular surgeons, cardiologists, anesthesiologists, physiologists, and pathologists. This journal is an essential resource for anyone working in this field. Original articles, short communications, reviews and important meeting announcements keep you abreast of key clinical advances, as well as providing the theoretical background of cardiovascular and thoracic surgery. Case reports are published in our Open Access companion journal The Thoracic and Cardiovascular Surgeon Reports.