title: A technique of an upper V-type ministernotomy in the second intercostal space.
abstract: Since cardiac surgeons found themselves able to offer a less invasive access to heart and great vessels, one of the first techniques to satisfy the tendency of minimizing the surgical trauma during general cardiac surgical procedure was a ministernotomy. In the current paper, we present the technique of V-type ministernotomy in the 2nd intercostal space, which has been employed in our department from June 2007 in 85 consecutive patients (mean age: 58+/-18 years); those operations consisted of the aortic valve replacement (AVR), surgery of the ascending aorta and epiaortic arterial segment.
authors.affiliation: Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, G. Monasterio Foundation, National Research Council, Via Aurelia Sud, 54100 Massa, Italy. asr_uz_2003@yahoo.com
authors.forename: Jamshid H
authors.initials: JH
authors.lastname: Karimov
authors.forename: Filippo
authors.initials: F
authors.lastname: Santarelli
authors.forename: Michele
authors.initials: M
authors.lastname: Murzi
authors.forename: Mattia
authors.initials: M
authors.lastname: Glauber
mesh_terms: D000328:Adult; D000368:Aged; D001011:Aorta / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D056346:Sternotomy / Q000379:methods*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures