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Aortic valve replacement via right anterior mini-thoracotomy: the conventional procedure performed through a smaller incision
Tamagnini, Gabriele; Biondi, Raoul; Giglio, Mauro Del.
  • Tamagnini, Gabriele; Villa Torri Hospital. Department of Cardiac Surgery. Bologna. IT
  • Biondi, Raoul; Villa Torri Hospital. Department of Cardiac Surgery. Bologna. IT
  • Giglio, Mauro Del; Villa Torri Hospital. Department of Cardiac Surgery. Bologna. IT
Rev. bras. cir. cardiovasc ; 36(1): 120-124, Jan.-Feb. 2021. graf
Article in English | LILACS | ID: biblio-1155801
ABSTRACT
Abstract Minimally invasive aortic valve replacement has gained consent due to its good results in terms of minimized surgical trauma, faster rehabilitation, pain control and patient compliance. In our experience, we have tried to replicate the conventional and gold standard approach through a smaller incision. Sparing the right internal thoracic artery, avoiding rib fractures and performing total central cannulation is important to make this procedure minimally invasive from a biological point of view too. In addition, the total central cannulation is pivotal to simplify perfusion and drainage. Moreover, a complete step-by-step procedure optimization and-when possible-the use of sutureless prosthesis help to reduce the cross-clamping and perfusion times. After more than 1000 right anterior thoracotomy (RAT) aortic valve replacements, we have found tips and tricks to make our technique more effective.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Heart Valve Prosthesis / Heart Valve Prosthesis Implantation Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2021 Type: Article Affiliation country: Italy Institution/Affiliation country: Villa Torri Hospital/IT

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Full text: Available Index: LILACS (Americas) Main subject: Heart Valve Prosthesis / Heart Valve Prosthesis Implantation Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2021 Type: Article Affiliation country: Italy Institution/Affiliation country: Villa Torri Hospital/IT