Key result
Right anterior minithoracotomy for aortic valve replacement is a minimally invasive technique requiring careful preoperative computed tomography planning to assess the aorto-sternal relationship.
Why the study?
Right anterior minithoracotomy offers a less traumatic approach for aortic valve replacement, but technical requirements, cannulation strategy, and anatomical planning require detailed specification.
Describes the surgical technique and preoperative computed tomography planning for right anterior minithoracotomy (RALT) in minimally invasive aortic valve replacement.
Less invasive techniques for cardiothoracic surgical procedures are designed to limit surgical trauma, but technical requirements and preoperative planning are more demanding than those for conventional sternotomy. Patient selection, interdisciplinary collaboration, and surgical skills are key factors for procedural success. Aortic valve replacement is frequently performed through an upper hemisternotomy, but the right anterior minithoracotomy represents an even less traumatic, technical advancement. Preoperative assessment of the ascending aorta in relation to the sternum is mandatory to select patients and the intercostal access site. This description of the surgical technique focuses on the specific procedural details including the obligatory planning with computed tomography, and our cannulation strategy. We also sought to define the anatomical ascending aorto-sternal relationship, as it is of utmost importance in preoperative computed tomographic planning.
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Praet et al. (2020) studied Aortic valve replacement. Right anterior minithoracotomy (RALT) was evaluated. Right anterior minithoracotomy for aortic valve replacement is a minimally invasive technique requiring careful preoperative computed tomography planning to assess the aorto-sternal relationship.
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