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J Thorac Cardiovasc Surg 2010;140:715-717
© 2010 The American Association for Thoracic Surgery

Brief Technique Report

Direct aortic access through right minithoracotomy for implantation of self-expanding aortic bioprosthetic valves

^a A De Gasperis Cardiology and Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Milan, Italy
^b Cardiothoracic Anesthesia and Intensive-care, Niguarda Ca' Granda Hospital, Milan, Italy

Received for publication January 18, 2010; accepted for publication February 20, 2010.

^_* Address for reprints: Giuseppe Bruschi, MD, A De Gasperis Cardiology & Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Piazza dell'Ospedale Maggiore 3, 20162 Milan, Italy. (Email: giuseppe.bruschi@fastwebnet.it).

The first 20% of the full text of this article appears below.

	Introduction

 
The development of transcatheter aortic valve implantation (TAVI) for the treatment of severe aortic stenosis (AS) offers a viable option for patients at high risk or with contraindications for standard cardiac surgery.¹ We report our experience of a novel surgical approach using direct aortic access through a right minithoracotomy for implanting a self-expanding aortic valve bioprosthesis (CoreValve, Medtronic-CV Luxembourg S.a.r.l.).

	Clinical Summary

 
Patient 1 is an 83-year-old woman (height, 145 cm; weight, 40 kg; body mass index, 19 kg/m²) with symptomatic severe AS and New York Heart Association class III heart failure. She had a peak transvascular pressure gradient of 130 mm Hg, an aortic valve area of 0.5 cm², and an aortic annulus of 18 mm.

Patient 2 is a 60-year-old woman (height, 151 cm; weight, 135 kg; body mass index, 59.2 kg/m²) with symptomatic severe AS, New York Heart Association class III, and severe bronchopneumopathy. The patient had a peak transvascular pressure gradient of 137 mm Hg and an aortic valve area of 0.6 cm².

According to our institutional protocol, the patients were jointly evaluated by . . . [Full Text of this Article]

This article has been cited by other articles:

				G. Bruschi, F. De Marco, P. Fratto, J. Oreglia, P. Colombo, L. Botta, S. Klugmann, and L. Martinelli Alternative approaches for trans-catheter self-expanding aortic bioprosthetic valves implantation: single-center experience Eur J Cardiothorac Surg, June 1, 2011; 39(6): e151 - e158. [Abstract] [Full Text] [PDF]