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Updated: Sep 13, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Partial Removal of Mechanical Aortic Valve to Enable Direct Transcatheter Valve Implantation During Left Ventricular
Anika Nagel1,2, Fadi Al Radwan2,3, Axel Unbehaun1,2,4
1From the Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité, Berlin, Germany.
Abstract:
In patients with a mechanical aortic valve in need of left ventricular assist device (LVAD) support, replacement with a biological valve should be considered. We present a case of partial mechanical valve explantation followed by direct transcatheter valve replacement during LVAD implantation. This approach offers a simpler and faster alternative to conventional valve replacement, with reduced cross-clamp time.
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