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Minimally Invasive Aortic valve Replacement via Right Minitoracotomy with Perceval Sutureless Valve.
Mattia Glauber, Antonio Miceli, Stefano Bevilacqua, Matteo Ferrarini, Marco Solinas, Pier A. Farneti.
Fondazione Toscana G. Monasterio, Massa, Italy.
OBJECTIVE:
To report our minimally invasive aortic valve replacement (MIAVR) technique via right minithoracotomy with Perceval sutureless valve.
METHODS:
A skin incision of 7 cm placed on the second intercostal space was performed. Cardiopulmonary bypass was achived by direct ascending aortic cannulation and percutaneous venous cannulation.
RESULTS:
After debridement of the native aortic valve, MIAVR was performed with a Perceval sutureless valve mounted in a nitinol stent. Cardiopulmonary bypass time and aortic cross clamp were 38 and 57 minutes, respectively. Intraoperative transesophageal echocardiogram showed good bioprosthesis function with no perivalvular leak.
CONCLUSIONS:Minimally invasive aortic valve replacement via right mini thoracotomy with Perceval sutureless valve is a safe and reproducible approach, which allow to safe operative times in high risk patients.
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