Concurrent Minimally Invasive Aortic Valve Replacement and Coronary Artery Bypass via Limited Right Anterior Thoracotomy

Innovations (Phila). 2015 Jul-Aug;10(4):273-5. doi: 10.1097/IMI.0000000000000170.

Abstract

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged, 80 and over
  • Aortic Valve / pathology*
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / surgery*
  • Calcinosis / surgery*
  • Coronary Artery Bypass / methods*
  • Female
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Male
  • Minimally Invasive Surgical Procedures / methods*
  • Thoracotomy
  • Treatment Outcome

Supplementary concepts

  • Aortic Valve, Calcification of