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Updated: Jun 19, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Aortic valve replacement with right thoracotomy in a patient with sternal metastasis from renal carcinoma
Alberto Molardi1, Francesco Nicolini, Cesare Beghi
1Department of Surgical Sciences, Unit of Cardiac Surgery, University of Parma, Parma, 1 University Hospital of Parma, Parma, Italy. alberto_molardi@hotmail.it
Abstract:
We present a clinical case of severe aortic stenosis in a 73-year-old patient symptomatic for dispnoea class NYHA III-IV. At the physical examination the patient presented a single sternal metastasis of renal carcinoma involving the sternum. Oncological stability prompted us to perform aortic valve replacement. In order to avoid median sternotomy and its complications due to the presence of sternal metastasis we successfully performed aortic valve replacement through a right minithoracotomy.
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