Introduction:
The concept of performing cardiac surgery on a beating heart is a viable
rationale these days. In some cases, surgeons are forced to perform
surgery on a beating heart because it is the only option available. The
most common approach for standard MV replacement is median sternotomy,
aorti-bicaval bypass at 320C and anterograde
cardioplegia to arrest the heart(1). In addition,
cardiac reperfusion injury is a well-recognized complication that occurs
after ischemia or cardioplegia. As a result, various strategies have
been developed to prevent ischemic reperfusion injury such as surgery on
a beating heart (2).
This case report emphasizes the importance of preoperative assessment
for cardiac surgery planning.