Right anterior minithoracotomy for redo aortic valve replacement after coronary artery bypass grafting with bilateral internal thoracic artery: A case report.
Hironobu NishioriTomoki SakataGoro MatsumiyaPublished in: Journal of cardiac surgery (2022)
A 63-year-old male, with a history of coronary artery bypass grafting using bilateral internal thoracic artery (ITA) grafts, underwent surgical aortic valve replacement (AVR). Avoiding the graft injury, we selected the right anterior minithoracotomy approach under cardiac arrest with systemic hyperkalemia with remaining bilateral ITA grafts open. Deep hypothermia was induced to obtain more reliable myocardial protection. We believe this strategy can be considered as a therapeutic option in patients requiring AVR but unsuitable for transcatheter AVR.
Keyphrases
- aortic valve replacement
- coronary artery bypass grafting
- aortic stenosis
- ejection fraction
- cardiac arrest
- transcatheter aortic valve implantation
- aortic valve
- coronary artery disease
- percutaneous coronary intervention
- transcatheter aortic valve replacement
- spinal cord
- case report
- end stage renal disease
- left ventricular
- newly diagnosed
- cardiopulmonary resuscitation
- acute coronary syndrome
- prognostic factors
- high glucose
- minimally invasive
- spinal cord injury
- diabetic rats
- brain injury
- heart failure
- endothelial cells
- patient reported outcomes
- stress induced