ArticleCureus2025
Mitral Valve Replacement via Right Thoracotomy in a Patient With Marfan Syndrome and Severe Scoliosis After a Prior Bentall Procedure.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Mitral valve surgery is commonly performed through median sternotomy or right mini-thoracotomy, but both approaches can be challenging in patients with thoracic deformities. We report the case of a 37-year-old male patient with Marfan syndrome, severe scoliosis, and a history of prior Bentall procedure for acute type A aortic dissection, who developed heart failure due to severe mitral regurgitation. Given his anatomical complexity and surgical history, neither median sternotomy nor right mini-thoracotomy was deemed feasible. A right anterolateral thoracotomy was selected, and mitral valve replacement with a mechanical valve was completed uneventfully. This case suggests that right thoracotomy remains an alternative for mitral valve surgery in patients with complex anatomy, including severe scoliosis and previous aortic surgery.
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