A right anterior minithoracotomy is a surgical approach that can be an excellent alternative to a median sternotomy. However, for aortic root interventions, the median sternotomy is still the gold standard. Most surgeons are slow to master this method because the visualization is poor and less convenient. These problems can be solved by careful selection of patients and using some technical tricks. The patient is a male with a severe aortic valve lesion and an aneurysm of the ascending aorta involving the proximal arch. We demonstrate step-by- step how to perform a minimally invasive Bio-Bentall procedure with a "hemiarch" replacement through a right anterolateral thoracotomy.
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| http://dx.doi.org/10.1510/mmcts.2022.016 | DOI Listing |
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Valve-sparing versus bio-Bentall aortic root replacement in patients aged 60-75 years: Survival, Reintervention and Aortic Regurgitation.
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- - The study examines the occurrence and long-term effects of permanent pacemaker implantation (PPI) after aortic root replacement (ARR), finding an incidence of 3.8% among 2240 patients.
- - Significant risk factors for requiring PPI include having a bicuspid aortic valve, being female, having preoperative heart block, and a history of prior aortic valve replacement.
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[Bio-Bentall Procedure in Patients Over 65 Years of Age].
Kyobu Geka
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