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Thorac Cardiovasc Surg 2014; 62(01): 073-075
DOI: 10.1055/s-0032-1304546
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Two Cases of Valve Surgery through Right Anterior Minithoracotomy in Presence of Severe Postmastectomy Irradiation Sternal Damage

Andreas Zierer
1   Division of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
,
Mahmut Ay
1   Division of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
,
Anton Moritz
1   Division of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
› Author Affiliations
Further Information

Publication History

20 September 2011

28 November 2011

Publication Date:
25 April 2012 (online)

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Abstract

High dose postmastectomy radiation therapy for breast cancer can lead to severe postirradiation sternal damage. Under these circumstances, median sternotomy may be associated with a prohibitive risk of postoperative deep sternal wound infection and alternative approaches have to be evaluated. We report herein the use of a right anterior minithoracotomy through the third intercostal space for isolated aortic valve replacement in one and combined aortic and mitral valve replacement in combination with mitral ring decalcification and coronary artery bypass grafting to the proximal right coronary artery in another patient.

Keywords

minimally invasive surgery - sternum - wound healing
 

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