Bilateral mini-thoracotomy for combined minimally invasive direct coronary artery bypass and mitral valve repair

Enrico Squiccimarro, Vito Margari, Domenico Paparella*

*Corresponding author for this work

Research output: Contribution to journalEditorialAcademicpeer-review

2 Citations (Web of Science)
37 Downloads (Pure)


Consistent evidence recognizes minimally invasive valve surgery as the top-tier surgical approach for heart valve pathology. Conversely, the overall adoption of minimally invasive coronary surgery remains low. Notwithstanding, excellent clinical outcomes have been recently reported, further consolidating a technique that addresses major concerns associated with the traditional approach for the most frequently performed cardiac operation, including sternal dehiscence (i.e., sternal sparing), stroke (i.e., no-touch aorta), but that also guarantees a reduced resort to blood transfusions, diminished pain, and faster recovery. More to the point, the suitability of minimally invasive strategies for combined coronary and valve procedures remains debatable. Almost no reports of such combined procedures are available in literature and the very few published experiences appear scarce and heterogeneous about the surgical access (i.e., single versus bilateral mini-thoracotomy). However, bilateral mini-thoracotomy has been proposed as a feasible and safe strategy for different cardiac operations like surgical ablation and left ventricular assist device implantation, but also for isolated multivessel minimally invasive coronary surgery. Here we describe feasibility of combined minimally invasive mitral valve and coronary surgery performed through bilateral mini-thoracotomy and we report outcomes of our initial series of 3 cases.

Original languageEnglish
Number of pages3
JournalEuropean Journal of Cardio-Thoracic Surgery
Issue number2
Early online date12 May 2022
Publication statusPublished - 11 Jul 2022


  • minimally invasive cardiac surgery
  • minimally invasive direct coronary artery bypass
  • minimally invasive mitral valve repair

Cite this