title: [Apico-aortic valved conduit for aortic stenosis in patients who could not tolerate median sternotomy].
abstract: This report presents 3 cases treated with an apico-aortic valved conduit. Cases 1, 2:A 67-year-old female patient and a 60-year-old male patient what had undergone coronary artery bypass grafting were admitted to our hospital for severe aortic stenosis. Computed tomography showed a severe calcified ascending aorta, and coronary angiography revealed patent bypass graft. Case 3:A 71-year-old male patient that had esophagectomy with retrosternal colonic interposition for esophagus cancer after distal gastrectomy. In addition, he had experienced anterior mediastinal drainagic therapy for anastomotic leak. All 3 patients were treated by implantation of an apico-aortic valved conduit. Operation:This procedure was performed through the 5th intercostal space under a beating heart with cardiopulmonary bypass.
  
  
  RESULTS
  Postoperative courses were uneventful. All patients are still alive without procedure-related events.
  
  
  CONCLUSIONS
  This surgical procedure can be an effective alternative when conventional aortic valve replacement cannot be performed for aortic stenosis patients.
authors: Department of Organ Regulatory Surgery, Cardiosurgery, Yamaguchi University, Ube, Japan.
authors: Ryo
authors: R
authors: Suzuki
authors: Akihito
authors: A
authors: Mikamo
authors: Yuya
authors: Y
authors: Tanaka
authors: Tomoaki
authors: T
authors: Kudo
authors: Hiroshi
authors: H
authors: Kurazumi
authors: Masaya
authors: M
authors: Takahashi
authors: Bungo
authors: B
authors: Shirasawa
authors: Kimikazu
authors: K
authors: Hamano
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002114:Calcinosis / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D056346:Sternotomy