Video-assisted Port-Access (TM) combined mitral valve and CABG surgery

Although conventional right thoracotomy is a well-known alternative for mid -sternotomy to access the left atrium, a combined video-assisted mitral and left anterior descending (LAD) approach via Port-Access(TM) has not yet be en described. We report the case of a 68-year-old patient with severe mitra l valve regurgitation due to myxoid degeneration associated with a critical LAD coronary artery stenosis. A totally video-assisted 'true' Fort-Access (i.e. no costal retraction) mitral valve repair and direct coronary artery bypass were performed in combination, without complications.