title: Extended parasternal approach for aortic and tricuspid valve surgery.
abstract: We report an extended parasternal approach to aortic and tricuspid valves used in a 31-year-old man. The patient presented with a deformed sternum and severe adhesion between the sternum and right ventricular outflow tract, caused by postoperative mediastinitis, which lasted for 4 years after a radical operation for tetralogy of Fallot during his childhood. The extended parasternal approach provided a safe and excellent exposure of both aortic and tricuspid valves without postoperative chest wall instability.
authors.affiliation: Cardiovascular Surgery, Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan.
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Umesue
authors.forename: Koji
authors.initials: K
authors.lastname: Matsuzaki
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Sonoda
authors.forename: Kanzi
authors.initials: K
authors.lastname: Matsui
mesh_terms: D000328:Adult; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery; D012086:Reoperation; D013249:Sternum / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000601:surgery*