Aortic valve replacement with right thoracotomy in a patient with sternal metastasis from renal carcinoma.
We present a clinical case of severe aortic stenosis in a 73-year-old patient symptomatic for dispnoea class NYHA III-IV. At the physical examination the patient presented a single sternal metastasis of renal carcinoma involving the sternum. Oncological stability prompted us to perform aortic valve replacement. In order to avoid median sternotomy and its complications due to the presence of sternal metastasis we successfully performed aortic valve replacement through a right minithoracotomy.
Molardi
Alberto
A
Department of Surgical Sciences, Unit of Cardiac Surgery, University of Parma, Parma, 1 University Hospital of Parma, Parma, Italy. alberto_molardi@hotmail.it
Nicolini
Francesco
F
Beghi
Cesare
C
Agostinelli
Andrea
A
Gherli
Tiziano
T
D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D001859:Bone Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000556:secondary* / Q000601:surgery; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000473:pathology*; D008297:Male; D049268:Positron-Emission Tomography; D013908:Thoracotomy / Q000379:methods*