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Updated: May 23, 2026
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Mini-thoracotomy Access for Endovascular Aortic Stenting in Pediatric Patients
Neil M Venardos1, Subhrajit Lahiri2, Arshid Mir2
1Division of Cardiovascular and Thoracic Surgery, University of Oklahoma Health Sciences Center, P.O. Box 26901, WP-2230, Oklahoma City, OK, 73105, USA. Neil.Venardos@ouhealth.com.
None:
Vascular access for endovascular procedures can be challenging in pediatric patients with congenital heart disease. We present two patients in which a left mini-thoracotomy was utilized to access the descending aorta for endovascular aortic stenting. The first patient was a 5-year-old male who had undergone a Fontan pathway and developed a significant stenosis of the distal arch. The second patient was a 10-month-old born with a coarctation who developed recurrent stenosis and a pseudoaneurysm around an existing aortic stent. Utilizing this hybrid approach, both underwent successful retrograde, aortic stent deployment. Both stents can be dilated to adult size in the future. To our knowledge these are the first published descriptions of this technique in the pediatric population.
