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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

493
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...
493
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

342
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...
342

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Related Experiment Video

Updated: Feb 22, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Suprasternal Aortic Valve Replacement: Key Technology and Techniques.

Andy C Kiser1, Thomas G Caranasos2, Mark D Peterson3

  • 1East Carolina Heart Institute, East Carolina University, Greenville, North Carolina.

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|September 23, 2017
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Summary

Suprasternal transcatheter aortic valve replacement provides a safe alternative for patients with unsuitable femoral arteries. This minimally invasive approach ensures precise control and successful outcomes.

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Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Medical Devices

Background:

  • Transcatheter aortic valve replacement (TAVR) is a crucial procedure for aortic stenosis.
  • Limited femoral artery access necessitates alternative TAVR approaches.
  • Transapical, direct aortic, and subclavian routes have associated challenges.

Purpose of the Study:

  • To evaluate the suprasternal TAVR approach as an alternative for patients with unsuitable femoral arteries.
  • To describe the technique and system used for suprasternal TAVR.
  • To assess the safety and efficacy of the suprasternal TAVR method.

Main Methods:

  • Utilized the Transit System for suprasternal TAVR via a small incision.
  • Accessed the ascending aorta or innominate artery for valve delivery.
  • Employed a pursestring suture for secure arterial closure and precise control.

Main Results:

  • Successful implantation of TAVR using four different manufacturers' valves.
  • Demonstrated the feasibility of the suprasternal approach in selected patients.
  • Highlighted the importance of patient selection and preoperative imaging.

Conclusions:

  • Suprasternal TAVR is a safe and effective alternative TAVR approach.
  • This technique expands treatment options for patients with complex anatomy.
  • Collaborative heart team approach in a hybrid OR is key for success.