Surgery of the ascending aorta via right minithoracotomy: single-center experience
Abstract
Introduction: minimally invasive surgery via right minithoracotomy represents a promising alternative to sternotomy for aortic root procedures.
Aim: to evaluate the safety and efficacy of this approach in a selected patient cohort.
Materials and Methods: a single-center retrospective study included 7 patients who underwent reconstructive operations (David procedure,
Bentall-de Bono) via right minithoracotomy in the second intercostal space with peripheral femoral cannulation for cardiopulmonary bypass.
Results: no conversions to median sternotomy occurred during the study. The median cardiopulmonary bypass time was 223 minutes, and aortic
cross-clamp time was 150 minutes. One in-hospital mortality was recorded.
Conclusion: right minithoracotomy proves to be a safe and technically feasible approach for performing reconstructive procedures on the aortic
root and ascending aorta, while demanding specialised instrumentation and preoperative CT-based planning.
About the Authors
A. V. Protopopov
Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Andrey V. Protopopov - Postgraduate Student, Junior Researcher, Center for Surgery of the Aorta, Coronary and Peripheral Arteries, Institute of Circulation Pathology, Adult Cardiac Surgery Department № 2
15, Rechkunovskaya St., Novosibirsk, 630055
R. M. Sharifulin
Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Ravil M. Sharifulin - MD, PhD, senior researcher, Department of acquired heart defects research Cardiovascular Surgeon, Adult cardiac surgery department
15, Rechkunovskaya St., Novosibirsk, 630055
A. V. Bogachev-Prokophiev
Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Alexander V. BogachevProkophiev - MD, PhD, professor; Head of cardiac surgery department
15, Rechkunovskaya St., Novosibirsk, 630055
References
1. Mikus E., Calvi S., Campo G. et al. Full Sternotomy, Hemisternotomy, and Minithoracotomy for Aortic Valve Surgery: Is There a Difference? Ann Thorac Surg. 2018; 106(6):1782–1788 DOI: 10.1016/j.athoracsur.2018.07.019
2. Johnson C.A., Siordia J.A., Wood K.L. et al. Right Mini-thoracotomy Bentall Procedure. Innovations (Phila).2018; 13(5):328–331 DOI: 10.1097/IMI.0000000000000555
3. Johnson C. A., Siordia J. A., Robinson D. A. et al. Right minithoracotomy Bentall with traditional and automated suturing devices», Multimed Man Cardiothorac Surg. 2018. DOI: 10.1510/mmcts.2018.025
4. Johnson C. A., Wood K. L., Melvin A. L. et al. Videoassisted right mini-thoracotomy for aortic root replacement. J Vis Surg. 2018; 4(38). DOI: 10.21037/jovs.2018.01.15
5. Praet K. M. Minimally invasive surgical aortic valve replacement: The RALT approach. J Card Surg. 2020; 35(9):2341-2346. DOI: 10.1111/jocs.14756.
6. Bethencourt D.M., Le J., Rodriguez G. et al. Minimally Invasive Aortic Valve Replacement via Right Anterior Minithoracotomy and Central Aortic Cannulation: A 13-Year Experience. Innovations (Phila. 2018; 12(2); 87–94. DOI: 10.1097/IMI.0000000000000358
7. Karadzha A., Bogachev-Prokophiev A., Sharifulin R. et al. The Bio-Bentall procedure with concomitant hemiarch replacement through a right anterolateral minithoracotomy», MMCTS. Просмотрено: 16 ноябрь 2025 г. [Онлайн]. Доступно на: https://mmcts.org/tutorial/1723
Review
For citations:
Protopopov A.V., Sharifulin R.M., Bogachev-Prokophiev A.V. Surgery of the ascending aorta via right minithoracotomy: single-center experience. Minimally Invasive Cardiovascular Surgery. 2025;1(4):43-49. (In Russ.)
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