Key result
The Y incision and roof technique for aortic root enlargement during aortic valve replacement can be implemented through a minimally invasive approach using the Stonehenge technique.
Why the study?
Surgeons have been reluctant to adopt a minimally invasive approach for the Y incision and roof technique due to complexity and risk.
Case Report
The Stonehenge technique can facilitate a minimally invasive approach for the complex Y incision and roof technique during aortic valve replacement.
Feasibility of minimally invasive Y-incision roof AVR shown; leaves open safety, durability, and comparative outcomes versus sternotomy.
The Y incision and roof technique for aortic valve replacement enable implantation of a large prosthetic valve and extensive enlargement of the sinotubular junction. Surgeons have been reluctant to adopt a minimally invasive approach for this procedure because of its complexity and risk. The Stonehenge technique was designed to achieve an ideal surgical view of the aortic root through a small right thoracotomy. Herein, we report implementing a Y incision and roof technique for aortic valve replacement through a minimally invasive approach facilitated by the Stonehenge technique.
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Matsumoto et al. (2023) conducted a case report in Aortic valve replacement requiring aortic root enlargement. Y incision and roof technique via minimally invasive approach (Stonehenge technique) was evaluated. The Y incision and roof technique for aortic root enlargement during aortic valve replacement can be implemented through a minimally invasive approach using the Stonehenge technique.
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