Cardiac Surgery Simplified: Minimally Invasive MVR Following Y-Incision Aortic Annular Enlargement

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Gorav Ailawadi, M.D., M.B.A., Chair of Cardiac Surgery at Michigan Medicine, specializes in minimally invasive valve surgery. This video demonstrates a mitral valve replacement of a rheumatic mitral valve through a minimally invasive approach in a patient with a prior Y-Incision aortic annular enlargement. Techniques highlighted in this case include excision of the mitral valve leaflets and thickened chords, papillary muscle approximation, and placement of a bioprosthetic mitral valve. This case illustrates a rare instance of progression of mixed rheumatic mitral stenosis and regurgitation arising years after aortic root enlargement with Y-incision.

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Cardiology
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