TY - CHAP M1 - Book, Section TI - Minimally Invasive Cardiac Surgery A1 - Kalavrouziotis, D. A1 - Dagenais, Francois A2 - Yuh, David D. A2 - Vricella, Luca A. A2 - Yang, Stephen C. A2 - Doty, John R. PY - 2014 T2 - Johns Hopkins Textbook of Cardiothoracic Surgery AB - Innovations in alternative methods for cannulation and cardiopulmonary bypass (CPB), new visualization systems, retractors and stabilizers, and robotic platforms have facilitated the development of minimally invasive cardiac surgery.Minimally invasive direct coronary artery bypass (MIDCAB) and totally endoscopic coronary artery bypass grafting (TECAB) remain hindered by inherent technical complexities.Minimally invasive approaches for mitral valve surgery include mini-right thoracotomy, partial sternotomy, parasternal approach, and robotic port access.Complications associated with the endoclamp include balloon migration/rupture and retrograde aortic dissection.Elevated atherosclerotic plaques greater than 2 mm in height in the descending thoracic aorta or arch may increase the risk of retrograde cerebral and other systemic embolization and constitutes a contraindication to femoral artery-perfused minimally invasive mitral valve surgery.Relative contraindications for a mini-right thoracotomy mitral approach include previous right thoracotomy with dense pleural adhesions, significant obesity, severe chest deformity (e.g., pectus excavatum), scoliosis, and prior breast implant or reconstruction.Other operations that can be performed through a small right thoracotomy include tricuspid valve surgery, atrial septal defect closure, atrial myxoma resection, and septal myectomy.Minimally invasive approaches for aortic valve surgery generally consist of limited sternotomies. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1104594047 ER -