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Ann Thorac Surg 2002;73:465-466
© 2002 The Society of Thoracic Surgeons
a Cardiac Surgery Service, Hospital de la Santa Creu i Sant Pau, Avda San Antonio M. Claret 167, 08025 Barcelona, Spain
e-mail: aaris@hsp.santpau.es
In contrast with coronary artery bypass surgery, cardiopulmonary bypass surgery can not be obviated in valve operations. Thus, minimally invasive aortic valve surgery relates only to the extension of the incision. After an initial experience with transverse and parasternal incisions, surgeons have elected to split the sternum in several degrees of length, with lateral extensions at different intercostal levels [1]. These incisions, named after alphabetical characters (C, T, L, I, S, j, J) allow a large enough
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