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(
A
) Preoperative three-dimensional view of the mitral valve prolapse. (
B
) Preoperative coronary angiography showing the left anterior descending stenosis.
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A 67-year-old man with severe mitral valve regurgitation caused by a posterior leaflet (P2) prolapse ( Fig. 1A ) and significant proximal LAD stenosis ( Fig. 1B ) underwent mitral valve repair and surgical revascularization via a bilateral minithoracotomy approach.
Intraoperative setting.
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During the closure of left atrium, the heart was repositioned allowing the second surgeon to simultaneously perform the LIMA-LAD bypass from the left side ( Fig. 2 ).
Patient before hospital discharge.
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The patient had an uneventful postoperative course and was sent home on day 9 postsurgery ( Fig. 3 ).