Exclusive percutaneous approach for surgical transaortic transcatheter valve replacement.

Etienne, Pierre-Yves; Papadatos, Spiridon; Mailleux, Patrick; Pieters, Denis; El Khoury, Elie; Glineur, David; Astarci, Parla · Ann Thorac Surg · 2013

other · Level V

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Abstract

Direct transaortic implantation (TAo) has been described as a new alternative approach for transcatheter aortic valve implantation in patients with unsuitable transfemoral access. TAo is usually achieved through an upper ministernotomy or, more recently, through a right thoracotomy in the second intercostal space. We describe here our first experience with a fully thoracoscopic approach that allowed successful deployment of a 23-mm Edwards SAPIEN valve.

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