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Review
. 2013 Nov;5 Suppl 6(Suppl 6):S669-72.
doi: 10.3978/j.issn.2072-1439.2013.09.21.

Reoperative minimal access aortic valve replacement

Tsuyoshi Kaneko  1 , Marzia Leacche, John Byrne, Lawrence Cohn
Affiliations
Review

Reoperative minimal access aortic valve replacement

Tsuyoshi Kaneko et al. J Thorac Dis. 2013 Nov.

Abstract

Reoperative minimal access aortic valve replacement (AVR) is performed through an upper hemisternotomy with peripheral cannulation. This approach limits dissection of mediastinum and especially the left internal mammary artery (LIMA) graft in patients with previous coronary artery bypass grafting (CABG) thus minimizing trauma to the patient. This approach is safe and feasible and may have some benefit over conventional full sternotomy in terms of mortality and morbidity.

Keywords: Minimally invasive surgery; aortic valve replacement (AVR); reoperation.

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Figures

Figure 1
Figure 1
Skin and sternal incision (above) and establishment of cardiopulmonary bypass using right axillary cannulation and percutaneous femoral vein cannulation (below) for reoperative minimally access Aortic Valve Replacement. Reprinted from “Reoperative minimal access aortic valve surgery: minimal mediastinal dissection and minimal injury risk.” Tabata and associates (8). J Thorac Cardiovasc Surg. 2008 with permission from Elsevier.
Figure 2
Figure 2
Aortic valve exposure from surgeon’s view. Adhesions are not completely dissected other than cross-clamp site and proximal vein graft anastomosis. Reprinted from “Reoperative minimal access aortic valve surgery: minimal mediastinal dissection and minimal injury risk.” Tabata and associates (8). J Thorac Cardiovasc Surg. 2008 with permission from Elsevier.
See this image and copyright information in PMC

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