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Minimally Invasive Valve Surgery With Bypass to the Right Coronary Artery

Joshi, Devendra MD*; Santana, Orlando MD; LaPietra, Angelo MD*; Lamelas, Joseph MD*

Innovations:Technology and Techniques in Cardiothoracic and Vascular Surgery: November/December 2013 - Volume 8 - Issue 6 - p 440–442
doi: 10.1097/IMI.0000000000000033
Case Report

Herein, we report the case of a 60-year-old woman who presented with increasing dyspnea on exertion. Echocardiography revealed significant aortic and mitral regurgitation, which were most likely secondary to previous radiation therapy for breast cancer. On cardiac catheterization a 90% ostial right coronary artery lesion was found and treated with a drug-eluting stent. During minimally invasive valve surgery, via a right anterior thoracotomy, it was noted that the stent had restenosed. Therefore, the right coronary artery was bypassed with a segment of venous graft through the same incision.

From the *Division of Cardiac Surgery, and †Columbia University Division of Cardiology, Mount Sinai Heart Institute, Miami Beach, FL USA.

Accepted for publication September 18, 2013.

Disclosure: The authors declare no conflicts of interest.

Address correspondence and reprint requests to Orlando Santana, MD, Echocardiography Laboratory, Columbia University Division of Cardiology, Mount Sinai Heart Institute, 4300 Alton Rd, Miami Beach, FL 33140 USA. E-mail:

©2013 by the International Society for Minimally Invasive Cardiothoracic Surgery