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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
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Posterior pericardiotomy in J-shaped ministernotomy
Dmitri Panfilov1, Andrey Sofronov1, Elizaveta Petrakova1
1Cardiovascular department, Cardiology Research Institute, Tomsk National Research Medical Centre, Russian Academy of Sciences, Tomsk, Russian Federation
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|March 24, 2026
Summary
Posterior pericardiotomy effectively prevents pericardial effusion after cardiac surgery. This video shows its safe use during minimally invasive ascending aortic replacement via ministernotomy.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Minimally Invasive Surgery
Background:
- Posterior pericardiotomy is standard for preventing pericardial effusion post-cardiac surgery.
- It is typically performed via sternotomy, reducing retained blood syndrome.
- Data on its use in minimally invasive approaches is limited.
Purpose of the Study:
- To demonstrate the technique for posterior pericardiotomy during minimally invasive ascending aortic replacement.
- To assess the feasibility and efficacy of this approach in a ministernotomy setting.
Main Methods:
- Video demonstration of a specific posterior pericardiotomy technique.
- Procedure performed through a J-shaped ministernotomy for ascending aortic replacement.
Main Results:
- The video tutorial details a feasible technique for posterior pericardiotomy.
- The approach is shown in the context of ascending aortic replacement via ministernotomy.
Conclusions:
- Posterior pericardiotomy can be safely and effectively performed via ministernotomy.
- This technique offers a minimally invasive option for preventing pericardial effusion in specific cardiac surgeries.
