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Aortic Valve Replacement Through a Minimally Invasive Approach: Preoperative Planning, Surgical Technique, and Outcome  Andre Plass, MD, Hans Scheffel,

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Presentation on theme: "Aortic Valve Replacement Through a Minimally Invasive Approach: Preoperative Planning, Surgical Technique, and Outcome  Andre Plass, MD, Hans Scheffel,"— Presentation transcript:

1 Aortic Valve Replacement Through a Minimally Invasive Approach: Preoperative Planning, Surgical Technique, and Outcome  Andre Plass, MD, Hans Scheffel, MD, Hatem Alkadhi, MD, PhD, Philipp Kaufmann, MD, PhD, Michele Genoni, MD, PhD, Volkmar Falk, MD, PhD, Jürg Grünenfelder, MD, PhD  The Annals of Thoracic Surgery  Volume 88, Issue 6, Pages (December 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) A 6-cm incision (6 cm) is placed in the intercostal space of the right-sided chest wall and (B) a soft-tissue retractor and rib spreader are used for the minithoracotomy. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Venous cannulation in the groin is achieved under (B) echocardiographic navigation. (C) Arterial cannulation and aortic clamping are done directly through the thoracotomy. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Preoperative planning variables at multislice computed tomography imaging include (A) distance measurements from the intercostal space to the next aortic spot, aortic annulus, and right internal thoracic artery, (B) length of the aorta for cannulation, and (C) diameter evaluation for the aortic annulus. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Multislice computed tomography imaging for the detection of a calcified plaque in the aortic arch (arrow) is shown in a (A) 3-dimensional and (B) 2-dimensional illustration. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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