Reversed C-shaped Scanner-guided Ministernotomy for Isolated Aortic Valve Replacement.

Fabre, Olivier; Carjaliu, Ionut; Rebet, Olivier; Radutoiu, Mihai; Gautier, Laurence; Durand, François; Hysi, Ilir · Ann Thorac Surg · 2021

case_series · Level IV

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Abstract

Here we present our technique of aortic valve replacement through a reversed C-shaped ministernotomy in 36 patients operated between 2017 and 2019. All patients had a preoperative computed tomography that guided the surgical approach. The sternum was incised at the level of the first and third or the second and fourth intercostal spaces. Cross-clamp time was of 65.2 ± 15.9 minutes. Median extubation time was of 2 hours. There was no postoperative 30-day mortality. Because the upper and lower parts of the sternum remain intact, this approach may improve postoperative thoracic stability.

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