Hybrid Setting for Minimally Invasive Mitral Surgery in Patients With Inferior Vena Caval Filters

Current cardiac surgery has evolved to include hybrid and minimally invasive settings. In parallel, less invasive techniques have been extended to complex clinical scenarios and may prove even more beneficial in higher-risk patients. However, comorbidities and challenging anatomy still represent limitations to widespread application of this philosophy. Previously implanted filters in the inferior vena cava may limit the feasibility and safety of peripheral cannulation techniques. Successful minimally invasive operations in a hybrid setting in 2 patients with caval filters are reported.