Malleable Tin Plate Exposure System for Minimally Invasive Mitral Valve Surgery.

Shibata, Toshihiko; Takahashi, Yosuke; Fujii, Hiromichi; Morisaki, Akimasa; Sakon, Yoshito; Murakami, Takashi · Ann Thorac Surg · 2019

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Abstract

In minimally invasive mitral valve surgery, exposure in the medial left atrium is occasionally poor. A flexible exposure system for minimally invasive surgery was constructed using a tin plate (99.9% pure tin). The tin plate is very flexible and embossed to prevent slippage, and it is attached to a left atrial retractor. The folded tin plate is inserted into the left atrium via a minithoracotomy, and the plate is easily expanded using forceps, as needed. The tin plate pushes the medial atrial wall outward, which provides an excellent view of the entire mitral valve.

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