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Simultaneous aortic valve and descending thoracic aorta replacement through L-shaped sterno-thoracotomy

Abstract

Median sternotomy is known to be an optimal access providing excellent exposure of the root, ascending segment, and aortic arch. However, extended access for optimal visualization is required in case of simultaneous intervention on the descending thoracic aorta.

We present our clinical case of successful simultaneous surgical treatment of aortic valve disease and descending thoracic aortic aneurysm using L-shaped shaped.

About the Authors

V. V. Aminov
Federal Center for Cardiovascular Surgery
Russian Federation

Aminov Vladislav V. - M.D., Ph.D., cardiovascular surgeon, Head of the Department.

2, Hero of Russia Evgeniy Rodionov Av., Chelyabinsk, 454003



P. V. Kuznetsov
Federal Center for Cardiovascular Surgery
Russian Federation

Kuznetsov Pavel V. - M.D., cardiovascular surgeon.

2, Hero of Russia Evgeniy Rodionov Av., Chelyabinsk, 454003



A. V. Kokorin
Federal Center for Cardiovascular Surgery
Russian Federation

Kokorin Alexander V. - M.D., cardiovascular surgeon.

2, Hero of Russia Evgeniy Rodionov Av., Chelyabinsk, 454003



K. S. Chudinovsky
Federal Center for Cardiovascular Surgery
Russian Federation

Chudinovsky Konstantin S. - M.D., intensivist.

2, Hero of Russia Evgeniy Rodionov Av., Chelyabinsk, 454003



A. A. Shtyrlyaev
Federal Center for Cardiovascular Surgery
Russian Federation

Shtyrlyaev Alexander A. - M.D., intensivist.

2, Hero of Russia Evgeniy Rodionov Av., Chelyabinsk, 454003



O. P. Lukin
Federal Center for Cardiovascular Surgery
Russian Federation

Lukin Oleg P. - M.D., Ph.D., Professor, cardiovascular surgeon, Director.

2, Hero of Russia Evgeniy Rodionov Av., Chelyabinsk, 454003



References

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2. Tominaga, R. Aortic Arch Replacement Procedure— Extended Aortic Arch Replacement Through the L-Incision Approach. Oper Tech Thorac Cardiovasc Surg 2008;13:232 – 243.

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6. Choi JH, Hwang JJ, Cho HM, Lee TY. Extended aortic arch replacement through the L-incision approach. Korean J Thorac Cardiovasc Surg. 2013 Jun;46(3):216-9. doi: 10.5090/kjtcs.2013.46.3.216. Epub 2013 Jun 5. PMID: 23772411; PMCID: PMC3680609.


Review

For citations:


Aminov V.V., Kuznetsov P.V., Kokorin A.V., Chudinovsky K.S., Shtyrlyaev A.A., Lukin O.P. Simultaneous aortic valve and descending thoracic aorta replacement through L-shaped sterno-thoracotomy. Minimally Invasive Cardiovascular Surgery. 2023;3(3):90-95. (In Russ.)

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