Minimally Invasive Surgical Aortic Valve Replacement: the RALT approach
| Autor: | Axel Unbehaun, Jörg Kempfert, Stephan D. Kurz, Volkmar Falk, Alexander Meyer, Gregor Richter, Antonia van Kampen, Karel M Van Praet, Simon H. Sündermann, Stephan Jacobs, Markus Kofler |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Minimally invasive surgical aortic valve replacement Sternum Heart Valve Diseases Aortic valve stenosis 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Aortic valve replacement Cardiac surgery Minimally invasive Minimally invasive cardiac surgery RALT Right anterior minithoracotomy SAVR Surgical aortic valve replacement medicine.artery Ascending aorta medicine Humans Minimally Invasive Surgical Procedures Heart Valve Prosthesis Implantation Preoperative planning business.industry medicine.disease Surgery Treatment Outcome Thoracotomy 030228 respiratory system Aortic Valve Heart Valve Prosthesis Access site Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiac Surgery, 35 (9) |
| ISSN: | 0886-0440 1540-8191 |
| DOI: | 10.22541/au.158990721.16465586 |
| Popis: | 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. Journal of Cardiac Surgery, 35 (9) ISSN:0886-0440 ISSN:1540-8191 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|