Portal de Periódicos da CAPES

Minimally invasive surgical aortic valve replacement: The RALT approach

2020; Wiley; Volume: 35; Issue: 9 Linguagem: Inglês

10.1111/jocs.14756

1540-8191

Karel M. Van Praet, Antonia van Kampen, Markus Kofler, Gregor Richter, Simon Sündermann, Alexander Meyer, Axel Unbehaun, Stephan Kurz, Stephan Jacobs, Volkmar Falk, Jörg Kempfert,

Aortic Disease and Treatment Approaches

Less-invasive techniques for cardiothoracic surgical procedures are designed to limit surgical trauma, but the technical requirements and preoperative planning are more demanding than those for conventional sternotomy. Patient selection, interdisciplinary collaboration, and surgical skills are key factors for procedural success. Aortic valve replacement is frequently performed through an upper hemisternotomy, but the right anterior minithoracotomy represents an even less traumatic, technical advancement. Preoperative assessment of the ascending aorta in relation to the sternum is mandatory to select patients and the intercostal access site. This description of the surgical technique focuses on the specific procedural details including the obligatory planning with computed tomography and our cannulation strategy. We also sought to define the anatomical ascending aorta-sternal relationship, as it is of utmost importance in preoperative computed tomographic planning.