biostudies-literatureUnknown49(6)Fatehi Hassanabad ASternal reentry when the ascending aorta is adherent to the posterior table of the sternum is associated with substantial risk. A minimally invasive right thoracotomy beating heart approach is an alternative when the aorta cannot be cross-clamped. This report details this technique for a complex reoperative mitral valve repair procedure performed in a patient with connective tissue disease who had required multiple aortic operations and presented with heart failure and severe functional mitral regurgitation.Texas Heart Institute journale217699https://www.ebi.ac.uk/biostudies/studies/S-EPMC9809074biostudies-literatureMinimally Invasive Beating Heart Mitral Valve Repair in a Patient With Connective Tissue Disease at Prohibitive Risk for Redo Sternotomy.PMC9809074Kent WDTSvystonyuk DAFatehi Hassanabad AfalseMinimally Invasive Beating Heart Mitral Valve Repair in a Patient With Connective Tissue Disease at Prohibitive Risk for Redo Sternotomy.Sternal reentry when the ascending aorta is adherent to the posterior table of the sternum is associated with substantial risk. A minimally invasive right thoracotomy beating heart approach is an alternative when the aorta cannot be cross-clamped. This report details this technique for a complex reoperative mitral valve repair procedure performed in a patient with connective tissue disease who had required multiple aortic operations and presented with heart failure and severe functional mitral regurgitation.2022-01-01T00:00:00Z2022 Nov2026-05-01T03:19:58.926Z2025-04-04T19:08:56.503ZS-EPMC98090743648503810.14503/thij-21-769910.14503/THIJ-21-7699