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Updated: Oct 29, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Neonatal right mini thoracotomy for repair of critical pulmonary stenosis
Naruhito Watanabe1, Oleg Kovalenko2, Ashley Hapak1
1Department of Pediatric Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Abstract:
Over the last few decades, due to evolving surgical techniques and medical management, there has been a significant decrease in the rate of mortality and complications for neonates born with critical pulmonary valve stenosis. Median sternotomy is the standard approach; however, this longitudinal midline incision is invasive and leaves a significant scar. A right mini thoracotomy approach to this surgical repair decreases recovery time and the chance of possible future psychological distress from a visible median sternotomy scar. This is the first article to describe a right mini thoracotomy approach for critical pulmonary stenosis during the neonatal period.
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