General Thoracic and Cardiovascular Surgery

, Volume 65, Issue 11, pp 657–660 | Cite as

Concomitant septal myectomy during minimally invasive aortic valve replacement through a right mini-thoracotomy for the treatment of aortic stenosis with systolic anterior motion of the mitral valve

  • Toshinori Totsugawa
  • Kota Suzuki
  • Arudo Hiraoka
  • Kentaro Tamura
  • Hidenori Yoshitaka
  • Taichi Sakaguchi
Case Report


This paper reports concomitant septal myectomy during minimally invasive aortic valve replacement through a right mini-thoracotomy. A 76-year-old woman was diagnosed as having aortic stenosis with systolic anterior motion of the mitral valve. The bulging septum was exposed by pulling up a traction suture placed at the annulus of the right coronary cusp; the anomalous chordae and muscle bundles attached to the septum were also resected. By setting an adequate intercostal thoracotomy and placing a traction suture, concomitant myectomy was safely performed even through a right mini-thoracotomy.


Aortic stenosis Asymmetric septal hypertrophy Systolic anterior motion Septal myectomy Minimally invasive aortic valve replacement 


Compliance with Ethical Standards

Conflict of interest

The authors have no conflict of interest to declare.


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Copyright information

© The Japanese Association for Thoracic Surgery 2017

Authors and Affiliations

  1. 1.Department of Cardiovascular SurgeryThe Sakakibara Heart Institute of OkayamaOkayamaJapan

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