Transaxillary direct-view mitral valve repair in a young patient with severe chest deformity.

The right transaxillary direct-view approach offers substantial advantages over conventional sternotomy when dealing with mitral valve pathology, including reduced post-operative pain, faster recovery and preserved respiratory function. However, its application in patients with complex thoracic deformities remains limited. We report a minimally invasive mitral valve repair in a young woman with severe chest wall deformity and suspected connective tissue disorder. Thorough pre-operative imaging evaluation and tailored surgical planning are crucial to ensure procedural safety and optimal outcomes. Once pre-operative assessment was completed, the procedure was smoothly performed according to our standard technique. Hence, this experience supports the feasibility and safety of the transaxillary approach in selected patients with thoracic deformities, providing excellent functional and cosmetic results, and enhancing recovery.