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Updated: May 4, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Mini-sternotomy approach for aortic valve replacement in a patient with osteogenesis imperfecta
Georgios Dimitrakakis1, Jitendrakumar Rathod, Ulrich Otto von Oppell
1Department of Cardiothoracic Surgery, University Hospital of Wales, Heath Park, Cardiff, United Kingdom.
Abstract:
Osteogenesis imperfecta (OI) is a heritable disorder of the connective tissue. Cardiovascular involvement is rare, related mainly to aortic valve regurgitation. Open-heart surgery in these patients is associated with increased morbidity and mortality rates as a result of tissue friability and bone brittleness as well as platelet dysfunction. We present a patient with OI who underwent successful aortic valve replacement with a mini-sternotomy approach.
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