Reversed L-type Upper Partial Sternotomy in Aortic Valve Replacement: an Initial Experience.
BACKGROUND
Degenerative aortic stenosis (AS) is the most frequent cause among aortic valve stenotic changes. Mini Sternotomy Aortic Valve Replacement is a replacement of aortic valve through upper partial sternotomy.


OBJECTIVE
The aim of this approach is to improve postoperative convalescence by leaving pleural spaces closed and do not compromise respiratory function, to decrease bleeding, and reduce post op ventilation time and ICU stay. All these advantages decrease cost during hospital stay by reducing ICU stay, respiration time, bleeding and using blood products, pain killers and shortening hospital stay. Esthetic effect is also considerable result of this method.


METHODS
This case report presents an initial experience with Reversed L-Type Upper Partial Sternotomy in Aortic Valve Replacement. The goal is to demonstrate that minimally invasive advanced cardiac surgery procedures can be performed in our country.
Department of Cardiovascular surgery, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
Alen
A
Karic
D001024:Aortic Valve Stenosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D056346:Sternotomy / Q000379:methods; D016896:Treatment Outcome
Aortic; L-Type; Partial; Replacement; Reversed; Sternotomy; Valve