Concurrent Minimally Invasive Aortic Valve Replacement and Coronary Artery Bypass via Limited Right Anterior Thoracotomy.
An 89-year-old man and an 80-year-old woman were treated surgically for critical aortic stenosis secondary to senile calcific aortic disease and high-grade calcified lesions in the ostium of the right coronary artery. Minimally invasive aortic valve replacement and concurrent coronary artery bypass grafting were performed concurrently through a 5-cm right anterior thoracotomy in the second intercostal space. Surgery was uncomplicated in both cases, with no adverse events. Both patients were alive and well at midterm follow-up. Concurrent minimally invasive aortic valve replacement and coronary artery bypass grafting can be performed successfully through a limited right anterior thoracotomy.
From the *Princeton Baptist Medical Center, Birmingham, AL USA; †Sarasota Memorial Hospital, Sarasota, FL USA; ‡Sarasota Vascular Specialists, Sarasota, FL USA; and §UAB Hospitals, Birmingham, AL USA.
Clifton T P
CT
Lewis
Richard L
RL
Stephens
Jennifer L
JL
Cline
Charles M
CM
Tyndal
D000369:Aged, 80 and over; D001021:Aortic Valve / Q000473:pathology* / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002114:Calcinosis / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D013908:Thoracotomy; D016896:Treatment Outcome