Related Experiment Video
Updated: Jun 16, 2026
08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Minimally Invasive TAVR Explantation and Aortic Valve Replacement in a Patient With a Retrosternal Conduit
Shota Inoue1, Yukihiro Hayatsu1, Hayate Nomura1
1Department of Cardiovascular Surgery, Sendai Kousei Hospital, Sendai, Miyagi, Japan.
JACC. Case Reports
|June 13, 2026
Summary
Minimally invasive explantation of a degenerated transcatheter aortic valve replacement (TAVR) via right minithoracotomy is a safe option. This approach is particularly useful for patients with retrosternal esophageal reconstruction, avoiding conduit injury.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Cardiac Surgery
Background:
- Transcatheter aortic valve replacement (TAVR) is a common procedure, but valve degeneration can necessitate reintervention.
- Minimally invasive surgical approaches for redo aortic valve replacement after TAVR are less frequently reported, especially in complex cases.
- Patients with prior retrosternal esophageal reconstruction present unique challenges for cardiac surgery due to the proximity of vital structures.
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