Reversed "C" ministernotomy for aortic valve replacement.
The technique of aortic valve replacement through a reversed "C" sternotomy incision is described. The sternal incision extends between the second and the fifth intercostal space and provides excellent exposure of the ascending aorta, the aortic root, and the right atrial appendage. The procedure can be performed with standard cannulation for cardiopulmonary bypass and conventional surgical instruments.
Aris
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Cardiac Surgery Service, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. aaris@hsp.santpau.es
D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D013249:Sternum / Q000601:surgery