title: Right parasternal approach for aortic valve replacement after retrosternal gastropexy.
abstract: Aortic valve replacement had to be performed in a 77-year-old man with a history of esophageal carcinoma, which had been treated with two-staged esophageal resection and retrosternal gastropexy. Barium swallowing confirmed the retrosternal course of the stomach, which crossed the midline from the right upper abdomen to the left-sided neck anastomosis. Aortic valve replacement with a bioprosthesis was performed through a small right parasternal thoracotomy. The postoperative course was uneventful. We found that the right parasternal incision is an excellent surgical approach for aortic valve replacement in patients after retrosternal gastropexy.
authors.affiliation: Department of Cardiovascular Surgery, German Heart Center at the Technical University, Lazarettstr. 36, 80636, Munich, Germany. mazzitelli@dhm.mhn.de
authors.forename: Domenico
authors.initials: D
authors.lastname: Mazzitelli
authors.forename: Wael
authors.initials: W
authors.lastname: Bedda
authors.forename: Diana
authors.initials: D
authors.lastname: Petrova
authors.forename: Ruediger
authors.initials: R
authors.lastname: Lange
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D013270:Stomach / Q000601:surgery*