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Updated: Jul 14, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Mini-Bentall Surgery: The Right Thoracotomy Approach.

Manish Jawarkar¹, Pratik Manek¹, Vivek Wadhawa¹

¹Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, B. J. Medical College, Ahmedabad, India.

Journal of Chest Surgery

|October 20, 2021

Summary

The right mini-thoracotomy approach for aortic valve surgery offers reduced blood loss and shorter hospital stays compared to sternotomy. This minimally invasive technique is beneficial for select aortic root and ascending aorta procedures.

Keywords:

Aortic root replacement Aortic valve Right mini-thoracotomy Surgery

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Area of Science:

Cardiovascular Surgery
Minimally Invasive Surgery

Background:

Sternotomy is the traditional approach for aortic valve surgery.
The right mini-thoracotomy approach is gaining traction for its potential benefits.

Purpose of the Study:

To evaluate the efficacy of a right mini-thoracotomy approach for aortic root and ascending aorta surgery.
To present a specific technique for minimally invasive aortic valve and root replacement.

Main Methods:

A 5-cm horizontal skin incision in the right second intercostal space.
Establishment of femoro-femoral cardiopulmonary bypass.
Use of a valved aortic conduit for aortic root replacement.

Main Results:

The described technique resulted in an uneventful postoperative course.
Patients experienced a short hospital stay.
The approach demonstrated reduced blood loss and hospital stay compared to sternotomy.

Conclusions:

The right mini-thoracotomy approach is a beneficial, minimally invasive option for selected patients undergoing aortic root and ascending aorta surgery.
This technique is adaptable and potentially cost-effective.
It offers advantages over the traditional sternotomy approach.