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Updated: Jun 12, 2026
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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Aortic root replacement through right anterolateral thoracotomy
Hideki Takahashi1, Kenji Okada, Masamichi Matsumori
1Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan.
Interactive Cardiovascular and Thoracic Surgery
|June 8, 2010
Summary
This study presents a minimally invasive aortic root replacement using right anterolateral thoracotomy in a patient with prior mediastinitis. This approach offers a viable alternative for complex aortic surgeries, especially after sternal wound complications.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Disease
Background:
- Postoperative mediastinitis following total aortic arch replacement necessitates complex management.
- Annuloaortic ectasia and mitral regurgitation require advanced surgical intervention.
Observation:
- A 59-year-old woman developed mediastinitis after aortic arch surgery.
- One year later, she required aortic root replacement and mitral valve repair.
Findings:
- The patient successfully underwent a modified Bentall procedure and mitral valve annuloplasty via right anterolateral thoracotomy.
- The surgical approach was associated with an uneventful postoperative recovery.
Implications:
- Right anterolateral thoracotomy is a feasible alternative for aortic root replacement in patients with prior sternal wound issues.
- Minimally invasive techniques can improve outcomes in complex cardiovascular cases.
