# Minimally invasive pulmonary valve replacement through a left anterior minithoracotomy in young patients with pectus excavatum. The procedure of choice

## TL;DR

This paper describes a minimally invasive surgical technique for replacing the pulmonary valve in young patients with chest deformity and heart valve issues.

## Contribution

The study introduces a left anterior minithoracotomy approach for pulmonary valve replacement in patients with pectus excavatum.

## Key findings

- Two young patients with pectus excavatum successfully underwent minimally invasive pulmonary valve replacement.
- The procedure allowed for swift recovery and return to daily activities.
- The approach is suggested as a preferred method for similar patients.

## Abstract

This case series presents two young patients with severe pulmonary valve regurgitation and pectus excavatum. Both patients underwent surgical repair of tetralogy of Fallot and pulmonary valvulotomy, respectively, during infancy and remained under close cardiological monitoring thereafter. After the diagnosis of severe pulmonary regurgitation was confirmed, both were referred to our center for pulmonary valve replacement. Minimally invasive pulmonary valve replacement was performed through a left anterior minithoracotomy. The swift recovery and return to daily activities observed in the presented cases suggest that minimally invasive pulmonary valve replacement through a left anterior minithoracotomy could indeed be considered the procedure of choice for patients with pectus excavatum.