J Chest Surg.  2021 Dec;54(6):554-557. 10.5090/jcs.21.036.

Mini-Bentall Surgery: The Right Thoracotomy Approach

• Jawarkar M
• Manek P
• Wadhawa V
• Doshi C

• KMID: 2523196
• DOI: http://doi.org/10.5090/jcs.21.036

Abstract

Surgeons are increasingly using the right mini-thoracotomy approach to perform aortic valve surgery. This approach has shown better results in terms of blood loss and length of hospital stay than the sternotomy approach. For selected patients requiring aortic root and ascending aorta surgery, a right mini-thoracotomy approach may prove beneficial. In our technique, we placed a 5-cm horizontal skin incision in the right second intercostal space. Femoro-femoral cardiopulmonary bypass was established. A valved aortic conduit was used for aortic root replacement. The patient’s postoperative course was uneventful, with a short hospital stay. This technique offers a minimally invasive approach to aortic root and ascending aorta surgery with easy adaptability and reduced costs.

Keyword

Right mini-thoracotomy; Aortic root replacement; Aortic valve; Surgery