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Ann Thorac Surg 1999;67:1806-1807
© 1999 The Society of Thoracic Surgeons

How to Do It

Reversed "C" ministernotomy for aortic valve replacement

Alejandro Aris, MD, PhDa

a Cardiac Surgery Service, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

Accepted for publication November 27, 1998.

Address reprint requests to Dr Aris, Cardiac Surgery Service, Hospital de la Santa Creu i Sant Pau, San A.M. Claret 167, 08025 Barcelona, Spain
e-mail: aaris{at}hsp.santpau.es

The technique of aortic valve replacement through a reversed "C" sternotomy incision is described. The sternal incision extends between the second and the fifth intercostal space and provides excellent exposure of the ascending aorta, the aortic root, and the right atrial appendage. The procedure can be performed with standard cannulation for cardiopulmonary bypass and conventional surgical instruments.




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