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Updated: Jun 7, 2025
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
[Combined single coronary artery by-pass graft surgery and aortic valve replacement through bilateral
Elie Minga Lowampa1, Jean-Paul Lavigne1, Manuel Azevedo Mendes2
1Service de Chirurgie cardiovasculaire et thoracique , CHU Liège, Belgique.
Insights
Minimally invasive surgery for aortic valve replacement and coronary artery bypass grafting is feasible. This case report details a successful combined procedure using bilateral anterior mini-thoracotomies for improved patient outcomes.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Procedures
- Thoracic Surgery
Background:
- Minimally invasive aortic valve surgery via right anterior thoracotomy is established.
- Minimally invasive coronary artery bypass grafting (CABG) using left mini-thoracotomy is performed in specialized centers.
- Combined minimally invasive CABG and aortic valve surgery is rarely described.
Abstract:
The efficiency of minimally invasive aortic valve surgery via right anterior thoracotomy is now well established. As far as coronary artery bypass graft surgery is concerned, many specialized centres are performing minimally invasive procedures with a left mini-thoracotomy either off-pump or on-pump. Multivessel operation is feasible. Up to date, only few authors described both procedures (coronary bypass graft surgery and valve surgery) in the same patient with a minimally invasive approach. We report a case of a female patient undergoing a single arterial coronary bypass surgery on the left anterior descending artery combined with an aortic valve replacement through bilateral anterior mini-thoracotomies.
