Mitral valve replacement in patiens with previous right pneumonectomy

Adequate exposure of the mitral valve is essential to the safe and effective performance of valve replacement. After a right pneumonectomy, shift of the mediastinum and reduction in respiratory function makes cardiac surgery challenging not only for the surgeon but also for the anaesthetist. We report our experience on performing mitral valve replacement in two patients with previous right pneumonectomy to highlight certain important features while managing these patients.