Key result
Modified Bentall via right mini-thoracotomy yields an uneventful recovery and a 4-day hospital stay.
Why the study?
A right mini-thoracotomy approach may be beneficial for selected patients requiring aortic root and ascending aorta surgery, given prior evidence of reduced blood loss and hospital stay in aortic valve surgery.
Case Report (n=1)
No
The right mini-thoracotomy approach for Mini-Bentall surgery is feasible and may offer a minimally invasive alternative with a short hospital stay.
May benefit selected patients needing aortic root surgery; leaves open comparative efficacy versus sternotomy.
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.
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Jawarkar et al. (2021) conducted a case report in Aortic root dilatation and severe aortic regurgitation (n=1). Modified Bentall procedure via right mini-thoracotomy was evaluated on Surgical success and postoperative recovery. The modified Bentall procedure via right mini-thoracotomy was successfully performed, resulting in an uneventful postoperative course with a 96-minute cross-clamp time and discharge on day 4.
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