{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:40:08Z","timestamp":1745368808250,"version":"3.40.4"},"reference-count":14,"publisher":"Texas Heart Institute Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:p>Sternal reentry when the ascending aorta is adherent to the posterior table of the sternum is associated with substantial risk. A minimally invasive right thoracotomy beating heart approach is an alternative when the aorta cannot be cross-clamped. This report details this technique for a complex reoperative mitral valve repair procedure performed in a patient with connective tissue disease who had required multiple aortic operations and presented with heart failure and severe functional mitral regurgitation.<\/jats:p>","DOI":"10.14503\/thij-21-7699","type":"journal-article","created":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T15:58:17Z","timestamp":1670601497000},"source":"Crossref","is-referenced-by-count":1,"title":["Minimally Invasive Beating Heart Mitral Valve Repair in a Patient With Connective Tissue Disease at Prohibitive Risk for Redo Sternotomy"],"prefix":"10.14503","volume":"49","author":[{"given":"Ali Fatehi","family":"Hassanabad","sequence":"first","affiliation":[{"name":"Section of Cardiac Surgery, Libin Cardiovascular Institute, Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniyil A.","family":"Svystonyuk","sequence":"additional","affiliation":[{"name":"Section of Cardiac Surgery, Libin Cardiovascular Institute, Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William D. T.","family":"Kent","sequence":"additional","affiliation":[{"name":"Section of Cardiac Surgery, Libin Cardiovascular Institute, Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"8","key":"i1526-6702-49-6-e217699-b1","series-title":"Heart.","first-page":"652","article-title":"Contemporary outcomes in reoperative mitral valve surgery","volume":"104","year":"2018","unstructured":"Mehaffey\nHJ,\n\n\nHawkins\nRB,\n\n\nSchubert\nS,\n\n\n.\nContemporary outcomes in reoperative mitral valve surgery.\nHeart.2018;104(8):652\u2013656.\ndoi:10.1136\/heartjnl-2017-312047"},{"issue":"4","key":"i1526-6702-49-6-e217699-b2","series-title":"J Card Surg.","first-page":"303","article-title":"Redo mitral valve surgery\u2014a long-term experience","volume":"19","year":"2004","unstructured":"Kumar\nAS,\n\n\nDhareshwar\nJ,\n\n\nAiran\nB,\n\n\nBhan\nA,\n\n\nSharma\nR,\n\n\nVenugopal\nP.\n\n\nRedo mitral valve surgery\u2014a long-term experience.\nJ Card Surg.2004;19(4):303\u2013307.\ndoi:10.1111\/j.0886-0440.2004.4054_11.x"},{"issue":"2","key":"i1526-6702-49-6-e217699-b3","series-title":"J Thorac Cardiovasc Surg.","first-page":"334","article-title":"Beating heart surgery via right thoracotomy for reoperative mitral valve surgery: a safe and effective operative alternative","volume":"144","year":"2012","unstructured":"Romano\nMA,\n\n\nHaft\nJW,\n\n\nPagani\nFD,\n\n\nBolling\nSF.\n\n\nBeating heart surgery via right thoracotomy for reoperative mitral valve surgery: a safe and effective operative alternative.\nJ Thorac Cardiovasc Surg.2012;144(2):334\u2013339.\ndoi:10.1016\/j.jtcvs.2011.09.026"},{"issue":"1","key":"i1526-6702-49-6-e217699-b4","series-title":"Ann Thorac Surg.","first-page":"67","article-title":"Risk of repeat mitral valve replacement for failed mitral valve prostheses","volume":"78","year":"2004","unstructured":"Potter\nDD,\n\n\nSundt\nTM\nIII,\n\n\nZehr\nKJ,\n\n\n.\nRisk of repeat mitral valve replacement for failed mitral valve prostheses.\nAnn Thorac Surg.2004;78(1):67\u201372;\ndiscussion 72. doi:10.1016\/j.athoracsur.2004.02.014"},{"issue":"5","key":"i1526-6702-49-6-e217699-b5","series-title":"Ann Thorac Surg.","first-page":"1482","article-title":"Reoperative mitral valve replacement: importance of preservation of the subvalvular apparatus","volume":"74","year":"2002","unstructured":"Borger\nMA,\n\n\nYau\nTM,\n\n\nRao\nV,\n\n\nScully\nHE,\n\n\nDavid\nTE.\n\n\nReoperative mitral valve replacement: importance of preservation of the subvalvular apparatus.\nAnn Thorac Surg.2002;74(5):1482\u20131487.\ndoi:10.1016\/s0003-4975(02)03950-4"},{"issue":"6","key":"i1526-6702-49-6-e217699-b6","series-title":"Ann Thorac Surg.","first-page":"1989","article-title":"Right minithoracotomy for mitral valve surgery: impact of tailored strategies on early outcome","volume":"102","year":"2016","unstructured":"Barbero\nC,\n\n\nMarchetto\nG,\n\n\nRicci\nD,\n\n\n.\nRight minithoracotomy for mitral valve surgery: impact of tailored strategies on early outcome.\nAnn Thorac Surg.2016;102(6):1989\u20131994.\ndoi:10.1016\/j.athoracsur.2016.04.104"},{"issue":"6","key":"i1526-6702-49-6-e217699-b7","series-title":"J Thorac Cardiovasc Surg.","first-page":"2763","article-title":"Minimally invasive right thoracotomy approach for mitral valve surgery in patients with previous sternotomy: a single institution experience with 173 patients","volume":"148","year":"2014","unstructured":"Murzi\nM,\n\n\nMiceli\nA,\n\n\nDi Stefano\nG,\n\n.\n\nMinimally invasive right thoracotomy approach for mitral valve surgery in patients with previous sternotomy: a single institution experience with 173 patients.\nJ Thorac Cardiovasc Surg.2014;148(6):2763\u20132768.\ndoi:10.1016\/j.jtcvs.2014.07.108"},{"issue":"1","key":"i1526-6702-49-6-e217699-b8","series-title":"MEDICC Rev.","first-page":"36","article-title":"A comparison of beating heart and arrested heart techniques for mitral valve replacement surgery","volume":"11","year":"2009","unstructured":"Mojena\nGC,\n\n\nTain\nJ,\n\n\nParedes\nAM,\n\n\nPerez\nH,\n\n\nLlanes\nJR,\n\n\nGonzalez\nL.\n\n\nA comparison of beating heart and arrested heart techniques for mitral valve replacement surgery.\nMEDICC Rev.2009;11(1):36\u201341.\ndoi:10.37757\/MR2009V11.N1.10"},{"issue":"5","key":"i1526-6702-49-6-e217699-b9","series-title":"J Thorac Cardiovasc Surg.","first-page":"1028","article-title":"Identifying patients at particular risk of injury during repeat sternotomy: analysis of 2555 cardiac reoperations","volume":"140","year":"2010","unstructured":"Park\nCB,\n\n\nSuri\nRM,\n\n\nBurkhart\nHM,\n\n\n.\nIdentifying patients at particular risk of injury during repeat sternotomy: analysis of 2555 cardiac reoperations.\nJ Thorac Cardiovasc Surg.2010;140(5):1028\u20131035.\ndoi:10.1016\/j.jtcvs.2010.07.086"},{"issue":"2","key":"i1526-6702-49-6-e217699-b10","series-title":"Ann Thorac Surg.","first-page":"573","article-title":"Right minithoracotomy versus full sternotomy for mitral valve repair: a propensity matched comparison","volume":"103","year":"2017","unstructured":"Lange\nR,\n\n\nVoss\nB,\n\n\nKehl\nV,\n\n\nMazzitelli\nD,\n\n\nTassani-Prell\nP,\n\n\nG\u00fcnther\nT.\n\n\nRight minithoracotomy versus full sternotomy for mitral valve repair: a propensity matched comparison.\nAnn Thorac Surg.2017;103(2):573\u2013579.\ndoi:10.1016\/j.athoracsur.2016.06.055"},{"issue":"3","key":"i1526-6702-49-6-e217699-b11","series-title":"J Thorac Cardiovasc Surg.","first-page":"1020","article-title":"Management of mitral regurgitation in Marfan syndrome: outcomes of valve repair versus replacement and comparison with myxomatous mitral valve disease","volume":"148","year":"2014","unstructured":"Helder\nMR,\n\n\nSchaff\nHV,\n\n\nDearani\nJA,\n\n\n.\nManagement of mitral regurgitation in Marfan syndrome: outcomes of valve repair versus replacement and comparison with myxomatous mitral valve disease.\nJ Thorac Cardiovasc Surg.2014;148(3):1020\u20131024;\ndiscussion 1024.doi:10.1016\/j.jtcvs.2014.06.046"},{"issue":"2","key":"i1526-6702-49-6-e217699-b12","series-title":"Int Heart J.","first-page":"107","article-title":"Redo mitral valve operation via right minithoracotomy\u2014\u201cno touch\u201d technique","volume":"52","year":"2011","unstructured":"Kitamura\nT,\n\n\nStuklis\nRG,\n\n\nEdwards\nJ.\n\n\nRedo mitral valve operation via right minithoracotomy\u2014\u201cno touch\u201d technique.\nInt Heart J.2011;52(2):107\u2013109."},{"issue":"6","key":"i1526-6702-49-6-e217699-b13","series-title":"Eur J Cardiothorac Surg.","first-page":"868","article-title":"Minimally invasive mitral valve surgery without aortic cross-clamping and with femoral cannulation is not associated with increased risk of stroke compared with traditional mitral valve surgery: a propensity score-matched analysis","volume":"48","year":"2015","unstructured":"Ad\nN,\n\n\nHolmes\nSD,\n\n\nShuman\nDJ,\n\n\nPritchard\nG,\n\n\nMassimiano\nPS.\n\n\nMinimally invasive mitral valve surgery without aortic cross-clamping and with femoral cannulation is not associated with increased risk of stroke compared with traditional mitral valve surgery: a propensity score-matched analysis.\nEur J Cardiothorac Surg.2015;48(6):868\u2013872;\ndiscussion 872.doi:10.1093\/ejcts\/ezv017"},{"issue":"3","key":"i1526-6702-49-6-e217699-b14","series-title":"Ann Thorac Surg.","first-page":"709","article-title":"Minimally invasive mitral valve surgery after previous sternotomy: experience in 181 patients","volume":"87","year":"2009","unstructured":"Seeburger\nJ,\n\n\nBorger\nMA,\n\n\nFalk\nV,\n\n\n.\nMinimally invasive mitral valve surgery after previous sternotomy: experience in 181 patients.\nAnn Thorac Surg.2009;87(3):709\u2013714.\ndoi:10.1016\/j.athoracsur.2008.11.053"}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/6\/article-e217699.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/thij\/article-pdf\/doi\/10.14503\/THIJ-21-7699\/3415073\/i1526-6702-49-6-e217699.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/6\/article-e217699.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/6\/article-e217699.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:02:26Z","timestamp":1745366546000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/6\/article-e217699.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,1]]},"references-count":14,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.14503\/thij-21-7699","relation":{},"ISSN":["1526-6702","0730-2347"],"issn-type":[{"type":"electronic","value":"1526-6702"},{"type":"print","value":"0730-2347"}],"subject":[],"published":{"date-parts":[[2022,11,1]]}}}