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Updated: Jun 11, 2026
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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
Graft-Assisted Transapical Transcatheter Aortic Valve Replacement With Concomitant Robotic Minimally Invasive Direct
Emily R S Bach1, Amber M Edwards1, Mark Stankewicz2
1Department of Cardiovascular Surgery, Ascension Saint Thomas West, Nashville, Tennessee.
The Annals of Thoracic Surgery
|June 9, 2026
Summary
This case study details a complex cardiac procedure for a patient with severe aortic stenosis and coronary artery disease. A combined robotic bypass surgery and transcatheter aortic valve replacement was successfully performed, offering a novel solution for high-risk patients.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Minimally Invasive Cardiac Procedures
Background:
- A 55-year-old male presented with multivessel coronary artery disease and severe aortic stenosis.
- The patient had a history of heart failure hospitalizations and was previously denied heart transplantation.
- High surgical risk was identified for sternotomy (due to radiation) and transfemoral TAVR (due to peripheral vascular disease).
