Aortic root replacement through right anterolateral thoracotomy

A 59-year-old woman had undergone total arch replacement, followed by the mediastinal omental flap installation because of postoperative mediastinitis. One year later, she was diagnosed with annuloaortic ectasia with mitral regurgitation and underwent aortic root replacement (modified Bentall proced...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2010-09, Vol.11 (3), p.345-347
Main Authors: Takahashi, Hideki, Okada, Kenji, Matsumori, Masamichi, Okita, Yutaka
Format: Article
Language:English
Subjects:
Aortic Aneurysm - surgery
Aortic Arch Syndromes - diagnostic imaging
Aortic Arch Syndromes - surgery
Aortic Valve Insufficiency - surgery
Blood Vessel Prosthesis Implantation - adverse effects
Female
Heart Valve Prosthesis Implantation
Humans
Mediastinitis - etiology
Mediastinitis - surgery
Middle Aged
Mitral Valve Annuloplasty
Mitral Valve Insufficiency - surgery
Radiography
Sternotomy - adverse effects
Surgical Flaps
Surgical Wound Infection - etiology
Surgical Wound Infection - surgery
Thoracotomy
Treatment Outcome
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Summary:A 59-year-old woman had undergone total arch replacement, followed by the mediastinal omental flap installation because of postoperative mediastinitis. One year later, she was diagnosed with annuloaortic ectasia with mitral regurgitation and underwent aortic root replacement (modified Bentall procedure) plus mitral valve annuloplasty through the right anterolateral thoracotomy. Her postoperative course was uneventful. The approach could be an alternative for the aortic root replacement in patients with previous median sternal wound complications.
ISSN:1569-9293
1569-9285
DOI:10.1510/icvts.2010.237578