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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
Extended trans-septal and left atrial dome incision combined with Manouguian's aortotomy for complex double valve
Takashi Nishimura1, Takeyoshi Ota2, Hiroo Takayama2
1Division of Cardiothoracic Surgery, Columbia University, New York, NY, USA takishi@hotmail.com.
Abstract:
We describe a novel surgical approach combining a trans-septal, left atrium dome incision and Manouguian incision to facilitate complex double valve (aortic and mitral) surgery. This technique provides an excellent surgical exposure and good outcomes.
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