Related Experiment Video
Updated: May 5, 2026
12:17
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
10.5K
Aortic valve replacement through J-shaped partial upper sternotomy
Shahzad G Raja1, Umberto Benedetto, Mohamed Amrani
1Department of Cardiac Surgery, Harefield Hospital, London, UK.
Journal of Thoracic Disease
|November 20, 2013
Summary
J-shaped partial upper sternotomy is a popular minimally invasive approach for aortic valve replacement (AVR). This technique offers cosmetic and cost benefits but has limitations in visualization and de-airing the heart.
Area of Science:
- Cardiac Surgery
- Minimally Invasive Techniques
Background:
- Minimally invasive surgery has impacted cardiac procedures since the late 1980s.
- Several minimal access approaches for aortic valve replacement (AVR) have been developed.
- The upper partial sternotomy with a right-sided J-shaped extension is currently the most favored method.
Purpose of the Study:
- To provide a comprehensive review of aortic valve replacement (AVR) via J-shaped partial upper sternotomy.
- To detail the indications, contraindications, technical aspects, outcomes, and limitations of this approach.
Main Methods:
- Review of existing literature on J-shaped partial upper sternotomy for AVR.
- Analysis of advantages and disadvantages compared to traditional methods.
Main Results:
- The J-shaped approach offers improved cosmesis, preserved respiratory mechanics, and cost savings.
- Potential disadvantages include limited cardiac visualization and challenges with left heart de-airing and epicardial pacing wire application.
Conclusions:
- J-shaped partial upper sternotomy is a viable and popular option for AVR.
- Careful patient selection and surgical technique are crucial to mitigate associated risks.
Related Concept Videos
01:15Aortic Regurgitation I: Introduction
1.6K
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
1.6K
01:22Mitral Stenosis I: Introduction
1.8K
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
1.8K
01:26Mitral Stenosis III: Medical Management
538
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
538
01:25Aortic Regurgitation III: Medical Management
598
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
598