Direct Transaortic CoreValve Implantation Through Right Minithoracotomy in Patients With Patent Coronary Grafts
Transcatheter aortic valve implantation has rapidly gained credibility as a valuable alternative to conventional aortic valve replacement in patients with severe aortic stenosis, who are otherwise left untreated owing to the perceived high risk of operative mortality. However, these patients are oft...
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| Veröffentlicht in: | The Annals of thoracic surgery 2012-04, Vol.93 (4), p.1297-1299 |
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| container_title | The Annals of thoracic surgery |
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| creator | Bruschi, Giuseppe, MD, FESC De Marco, Federico, MD Botta, Luca, MD Oreglia, Jacopo, MD Colombo, Paola, MD, PhD Paino, Roberto, MD Klugmann, Silvio, MD Martinelli, Luigi, MD |
| description | Transcatheter aortic valve implantation has rapidly gained credibility as a valuable alternative to conventional aortic valve replacement in patients with severe aortic stenosis, who are otherwise left untreated owing to the perceived high risk of operative mortality. However, these patients are often also affected by severe iliofemoral arteriopathy, rendering the transfemoral approach unfeasible. Different alternative access routes have been used in these patients, such the transapical and the subclavian routes. We report our experience of direct aortic access through a right anterior minithoractomy to implant a self-expanding aortic valve bioprosthesis in two patients who had previously undergone coronary artery bypass graft surgery. |
| doi_str_mv | 10.1016/j.athoracsur.2011.08.020 |
| format | Article |
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However, these patients are often also affected by severe iliofemoral arteriopathy, rendering the transfemoral approach unfeasible. Different alternative access routes have been used in these patients, such the transapical and the subclavian routes. We report our experience of direct aortic access through a right anterior minithoractomy to implant a self-expanding aortic valve bioprosthesis in two patients who had previously undergone coronary artery bypass graft surgery.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2011.08.020</identifier><identifier>PMID: 22450081</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged, 80 and over ; Aorta - surgery ; Aortic Valve Stenosis - surgery ; Cardiac Catheterization ; Cardiothoracic Surgery ; Coronary Artery Bypass ; Heart Valve Prosthesis Implantation - methods ; Humans ; Male ; Myocardial Infarction - surgery ; Surgery ; Thoracotomy ; Vascular Patency</subject><ispartof>The Annals of thoracic surgery, 2012-04, Vol.93 (4), p.1297-1299</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2012 The Society of Thoracic Surgeons</rights><rights>Copyright © 2012 The Society of Thoracic Surgeons. 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However, these patients are often also affected by severe iliofemoral arteriopathy, rendering the transfemoral approach unfeasible. Different alternative access routes have been used in these patients, such the transapical and the subclavian routes. We report our experience of direct aortic access through a right anterior minithoractomy to implant a self-expanding aortic valve bioprosthesis in two patients who had previously undergone coronary artery bypass graft surgery.</description><subject>Aged, 80 and over</subject><subject>Aorta - surgery</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Cardiac Catheterization</subject><subject>Cardiothoracic Surgery</subject><subject>Coronary Artery Bypass</subject><subject>Heart Valve Prosthesis Implantation - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Myocardial Infarction - surgery</subject><subject>Surgery</subject><subject>Thoracotomy</subject><subject>Vascular Patency</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi0EokvhLyDfOCWMHTt2Lkiw9EsqooIFjpbjOF0vSbzYTqX99zjdAhKnnkajeeedmWcQwgRKAqR-uyt12vqgTZxDSYGQEmQJFJ6gFeGcFjXlzVO0AoCqYI3gJ-hFjLuc0lx-jk4oZRxAkhXyH12wJuFN0FPUPiRn8NoH-10PdxZfjftBT0kn5ye82QY_327xF3e7TfiTm9xxB5_8eMBuwjdZZ6cU8Y9cWbKcLGZ-0uGAL4LuU3yJnvV6iPbVQzxF387PNuvL4vrzxdX6_XVhGJWp4DWpNAgia91ZLYSQVrSSd5w2vAXR17TuWsG4aQgXUlhWN1T2rZa6gt5QXp2iN0ffffC_ZhuTGl00dsjnWD9H1fCKApeMZaU8Kk3wMQbbq31wY95YEVALbbVT_2irhbYCqTLt3Pr6Ycjcjrb72_gHbxZ8OApsPvXO2aCiyYiM7e6pq867x0x595-JGTJ8o4ef9mDjzs9hyigVUZEqUF-Xry9PJ9m2YZRVvwH9EKwc</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Bruschi, Giuseppe, MD, FESC</creator><creator>De Marco, Federico, MD</creator><creator>Botta, Luca, MD</creator><creator>Oreglia, Jacopo, MD</creator><creator>Colombo, Paola, MD, PhD</creator><creator>Paino, Roberto, MD</creator><creator>Klugmann, Silvio, MD</creator><creator>Martinelli, Luigi, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120401</creationdate><title>Direct Transaortic CoreValve Implantation Through Right Minithoracotomy in Patients With Patent Coronary Grafts</title><author>Bruschi, Giuseppe, MD, FESC ; De Marco, Federico, MD ; Botta, Luca, MD ; Oreglia, Jacopo, MD ; Colombo, Paola, MD, PhD ; Paino, Roberto, MD ; Klugmann, Silvio, MD ; Martinelli, Luigi, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-5613a07186adea7778e7b85d5295b07f626db745c915787e46928fba8a30fc253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged, 80 and over</topic><topic>Aorta - surgery</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Cardiac Catheterization</topic><topic>Cardiothoracic Surgery</topic><topic>Coronary Artery Bypass</topic><topic>Heart Valve Prosthesis Implantation - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Myocardial Infarction - surgery</topic><topic>Surgery</topic><topic>Thoracotomy</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bruschi, Giuseppe, MD, FESC</creatorcontrib><creatorcontrib>De Marco, Federico, MD</creatorcontrib><creatorcontrib>Botta, Luca, MD</creatorcontrib><creatorcontrib>Oreglia, Jacopo, MD</creatorcontrib><creatorcontrib>Colombo, Paola, MD, PhD</creatorcontrib><creatorcontrib>Paino, Roberto, MD</creatorcontrib><creatorcontrib>Klugmann, Silvio, MD</creatorcontrib><creatorcontrib>Martinelli, Luigi, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bruschi, Giuseppe, MD, FESC</au><au>De Marco, Federico, MD</au><au>Botta, Luca, MD</au><au>Oreglia, Jacopo, MD</au><au>Colombo, Paola, MD, PhD</au><au>Paino, Roberto, MD</au><au>Klugmann, Silvio, MD</au><au>Martinelli, Luigi, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Direct Transaortic CoreValve Implantation Through Right Minithoracotomy in Patients With Patent Coronary Grafts</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>93</volume><issue>4</issue><spage>1297</spage><epage>1299</epage><pages>1297-1299</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Transcatheter aortic valve implantation has rapidly gained credibility as a valuable alternative to conventional aortic valve replacement in patients with severe aortic stenosis, who are otherwise left untreated owing to the perceived high risk of operative mortality. 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| ispartof | The Annals of thoracic surgery, 2012-04, Vol.93 (4), p.1297-1299 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged, 80 and over Aorta - surgery Aortic Valve Stenosis - surgery Cardiac Catheterization Cardiothoracic Surgery Coronary Artery Bypass Heart Valve Prosthesis Implantation - methods Humans Male Myocardial Infarction - surgery Surgery Thoracotomy Vascular Patency |
| title | Direct Transaortic CoreValve Implantation Through Right Minithoracotomy in Patients With Patent Coronary Grafts |
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