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Ann Thorac Surg 2002;73:284-286
© 2002 The Society of Thoracic Surgeons

Case report

Aortoscopy: a less invasive intraoperative method to assess the aortic valve

Eduardo A. Tovar, MD*a,b, Jon R. Sherman, MDc, David M. Weinberg, MDc, Yonghun C. Suh, MDc, Ramesh H. Rathod, MDc, Alan Borsari, MDc

a Department of Cardiothoracic Surgery, University of California, Irvine Medical Center, Orange, California, USA
b Department of Cardiothoracic Surgery, St. Jude Medical Center, Fullerton, California, USA
c Department of Cardiology, St. Jude Medical Center, Fullerton, California, USA

Accepted for publication April 17, 2001.

* Address reprint requests to Dr Tovar, 100 E Valencia Mesa Dr, Suite 301, Fullerton, CA 92835, USA
e-mail: etovarmd{at}aol.com

Surgical management of mild aortic stenosis coexisting with severe coronary artery disease remains controversial. Direct examination of the aortic root under these circumstances may be decisive. At present, intraoperative assessment of the aortic valve requires an aortic incision which, in itself, may increase the risk of intraoperative complications, particularly when this portion of the aorta is needed to construct proximal graft anastomoses. We present a simple aortoscopic method for direct intraoperative assessment of the aortic valve while performing coronary bypass grafting that obviates the need for aortic incisions.






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