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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...

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Related Experiment Video

Updated: Jul 24, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Minimally invasive aortic valve replacement via partial sternotomy

R K Tam1, A A Almeida

  • 1Department of Cardiac Surgery, The Prince Charles Hospital, Brisbane, Australia. tamr@health.qld.gov.au

The Annals of Thoracic Surgery
|February 10, 1998
PubMed
Summary

This study presents a novel aortic valve replacement technique using a partial sternotomy, avoiding full sternal division. This approach allows for aortic valve replacement with standard cannulation methods.

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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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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

Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Cardiac Procedures
  • Thoracic Surgery

Background:

  • Aortic valve replacement is a critical procedure for severe aortic stenosis.
  • Traditional aortic valve replacement often requires a full median sternotomy.
  • Minimally invasive approaches aim to reduce surgical trauma and improve recovery.

Purpose of the Study:

  • To describe a modified technique for aortic valve replacement.
  • To evaluate the feasibility of aortic valve replacement via partial sternotomy.
  • To demonstrate the use of standard cannulation in this approach.

Main Methods:

  • A partial sternotomy approach was utilized, avoiding complete transection of the sternum.
  • The aortic valve was accessed and exposed through the partial sternotomy.
  • Standard aortic and right atrial cannulation techniques were employed for cardiopulmonary bypass.

Main Results:

  • The described technique allows for successful exposure of the aortic valve.
  • Aortic valve replacement was achievable using this partial sternotomy method.
  • Standard cannulation was effective for initiating cardiopulmonary bypass.

Conclusions:

  • Partial sternotomy offers a viable alternative for aortic valve replacement.
  • This technique may reduce the invasiveness of aortic valve replacement surgery.
  • Further studies are warranted to compare outcomes with traditional sternotomy.