Minimally invasive surgical aortic valve replacement through a right anterolateral thoracotomy
K. V. Van Praeta b, A. van Kampena b, M. Koflera, A. Unbehauna b, M. Hommelc, S. Jacobsa, V. Falka b d e f, J. Kempferta b
- aDepartment of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Germany
- bDZHK (German Center for Cardiovascular Research), Partner Site Berlin, Germany
- cInstitute for Anesthesiology, German Heart Center Berlin, Germany
- dDepartment of Cardiovascular Surgery, Charité – Universitätsmedizin Berlin, Germany
- eBerlin Institute of Health (BIH), Berlin, Germany
- fDepartment of Health Sciences, ETH Zürich, Translational Cardiovascular Technologies, Switzerland
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Abstract
In the field of minimally invasive surgical aortic valve replacement, the right anterolateral minithoracotomy is an approach that offers very limited procedural trauma. Our method of right anterolateral minithoracotomy uses femoral percutaneous cannulation, a high-definition thoracoscope and a transthoracic cross-clamp. It allows a minimized skin incision and full preservation of the sternum, sternocostal cartilages, and ribs. The patient we present in this video tutorial is a low-risk male with severe bicuspid aortic valve stenosis. We provide detailed insight into our preoperative planning and step-by-step guidance throughout the right anterolateral minithoracotomy aortic valve replacement procedure.
TL;DRThe patient presented is a low-risk male with severe bicuspid aortic valve stenosis and the method of right anterolateral minithoracotomy uses femoral percutaneous cannulation, a high-definition thoracoscope and a transthoracic cross-clamp. (Semantic Scholar)