Multiple valve replacement in limited access: a case report.

Nowadays minimally invasive surgery represents an accepted technique to treat heart valve disease. We report a case of surgical correction of multiple valve disease in a 61-year-old woman through a minimally invasive right anterolateral minithoracotomy. The intervention was performed under transesophageal echocardiography and videoscopic guidance. High thoracic epidural anesthesia allowed a rapid weaning from mechanical ventilation and a faster recovery.