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Updated: Jun 26, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Redo aortic valve replacement after partial upper sternotomy (hemisternotomy) in a patient with idiopathic
Hiba Fatayer1, Steven Griffin, Aristotle D Protopapas
1Imperial College London, UK. Aristotelis.Protopapas02@IMPERIAL.AC.UK.
Background:
We present a case of redo aortic valve replacement in a patient with thrombocytopenia. The initial operation was performed through limited access transverse sternotomy. This is the first report of this kind in the literature.
Case Presentation:
A 62 year old Caucasian male farmer with thrombocytopenia had uneventful redo aortic valve replacement when the first xenograft failed after 9 years, the transverse upper hemisternotomy in the first operation appearing to facilitate the redo complete sternotomy.
Conclusion:
With this only case of redo aortic valve replacement in our practice of 90 hemisternotomies over 10 years we present for consideration the use of a tissue valve in a complex relatively young patient.
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