{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T16:37:26Z","timestamp":1762101446660,"version":"build-2065373602"},"reference-count":15,"publisher":"IMR Press","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HSF"],"abstract":"<jats:p>&lt;p&gt;&lt;b&gt;Background:&lt;\/b&gt; Minimally invasive coronary artery bypass grafting (MICS-CABG) and minimally invasive valve surgery (MIVS) have been used independently to manage occlusive coronary artery disease and valvular diseases, respectively. We present 12 patients who underwent combined MICS-CABG and MIVS via bilateral mini-thoracotomies.&lt;\/p&gt;&lt;p&gt;&lt;b&gt;Methods:&lt;\/b&gt; We retrospectively reviewed 116 consecutive valve\/CABG operations by a single surgeon and compared the outcomes obtained via sternotomy with those obtained via bilateral minithoracotomies.&lt;\/p&gt;&lt;p&gt;&lt;b&gt;Results:&lt;\/b&gt; Six patients in the MIVS group underwent aortic valve replacement (sternotomy group, n = 70), 3 patients underwent mitral valve repair (sternotomy group, n = 9), and 3 underwent mitral valve replacement (sternotomy group, n = 25). The minimally invasive valve surgeries were combined with MICS-CABG for single- (n = 2), double- (n = 9), and triple-vessel (n = 1) coronary artery disease in a single operation. The mean SD duration of cardiopulmonary bypass was 164 \u00b1 44.6 minutes (mean time via sternotomy, 152 \u00b1 50.5 minutes; &lt;i&gt;P&lt;\/i&gt; = .4146), and the mean aortic cross-clamp time was 87.8 \u00b1 22.1 minutes (mean time via sternotomy, 105 \u00b1 39.8 minutes; &lt;i&gt;P&lt;\/i&gt; = .1455). The use of perioperative blood transfusions averaged to 2.3 \u00b1 5.6 units (mean usage via sternotomy, 2.7 \u00b1 4.9 units; &lt;i&gt;P&lt;\/i&gt; = .8326). There were no conversions to sternotomy in the minimally invasive group. Patients in the minimally invasive group were extubated earlier (24 \u00b1 11 hours; sternotomy group, 40 \u00b1 61 hours; &lt;i&gt;P&lt;\/i&gt; = .3684) and discharged earlier (7 \u00b1 4 days) than patients who underwent median sternotomy (9 \u00b1 10 days; &lt;i&gt;P&lt;\/i&gt; = .4027).&lt;\/p&gt;&lt;p&gt;&lt;b&gt;Conclusion:&lt;\/b&gt; MICS-CABG combined with MIVS via bilateral minithoracotomies yielded short-term results comparable to those for CABG and valve repair via median sternotomy. There were no operative mortalities or reoperations. The possible advantages of the minimally invasive approach included earlier extubation and earlier discharge from the hospital. Combined CABG and valve surgery can be safely performed via bilateral thoracotomies.&lt;\/p&gt;<\/jats:p>","DOI":"10.1532\/hsf98.20121126","type":"journal-article","created":{"date-parts":[[2013,7,2]],"date-time":"2013-07-02T21:19:00Z","timestamp":1372799940000},"page":"125","source":"Crossref","is-referenced-by-count":16,"title":["Experience with a Minimally Invasive Approach to Combined Valve Surgery and Coronary Artery Bypass Grafting through Bilateral Thoracotomies"],"prefix":"10.31083","volume":"16","author":[{"given":"Pieter J. S.","family":"Smit","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masood A.","family":"Shariff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Nabagiez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad A.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott M.","family":"Sadel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph T.","family":"McGinn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2013,6,26]]},"reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1016\/j.athoracsur.2005.12.006","article-title":"Two hundred forty minimally invasive mitral operations through right minithoracotomy","volume":"81","author":"T. 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Mishra","year":"1999","journal-title":"Ann Thorac Surg"},{"key":"11","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1016\/j.ejcts.2008.07.057","article-title":"Minimally invasive mitral valve surgery: a systematic review and meta-analysis","volume":"34","author":"P. Modi","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"key":"12","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1093\/ejcts\/ezr230","article-title":"Traversing the learning curve in minimally invasive heart valve surgery: a cumulative analysis of an individual surgeon's experience with a right minithoracotomy approach for aortic valve replacement","volume":"41","author":"M. Murzi","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"key":"13","doi-asserted-by":"crossref","DOI":"10.1161\/01.cir.0000087446.53440.a3","article-title":"Minimally invasive aortic valve surgery in the elderly: a case-control study","volume":"108","author":"R. 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