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This is a case of a 62-year-old man with aortic stenosis due to a congenital bicuspid valve. A right infra-axillary mini-thoracotomy for minimally invasive aortic valve replacement was performed. Its cosmetic superiority over standard sternotomy was apparent, and remoteness from the ascending aorta was compensated for by using long-shafted minimally invasive instruments and high definition endoscopic assist.

Video Chapters
00:00:20 Clinical vignette
00:00:38 Exposition
00:01:12 Cardiopulmonary bypass
00:01:55 Aortic clamp placement
00:04:09 Valve excision57
00:05:50 Prosthesis placement
00:07:57 Completion


Cite this article as: Ito T, Maekawa A, Hoshino S, Hayashi Y. Right infra-axillary mini-thoracotomy for aortic valve replacement. Ann Cardiothorac Surg 2015;4(1):78-80. doi: 10.3978/j.issn.2225-319X.2014.08.09


The Annals of Cardiothoracic Surgery (ACS) is a bi-monthly peer-reviewed scientific journal, focusing on the latest clinical evidence and surgical techniques. For more information regarding upcoming issues and manuscript submissions please visit: www.annalscts.com.

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