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. 2021 Mar;111(3):e209-e211.
doi: 10.1016/j.athoracsur.2020.07.076. Epub 2020 Oct 17.

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

Olivier Fabre  1 , Ionut Carjaliu  1 , Olivier Rebet  1 , Mihai Radutoiu  1 , Laurence Gautier  1 , François Durand  2 , Ilir Hysi  3
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Reversed C-shaped Scanner-guided Ministernotomy for Isolated Aortic Valve Replacement

Olivier Fabre et al. Ann Thorac Surg. 2021 Mar.

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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