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Published on September 21, 2009, doi:10.1510/icvts.2009.215699

Interactive CardioVascular and Thoracic Surgery 2009;9:1021.

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Right arrow Minimally invasive surgery

Cardiac general

A technique of an upper V-type ministernotomy in the second intercostal space

Jamshid H. Karimov 1*, Filippo Santarelli 1, Michele Murzi 1, Mattia Glauber 1

1 G. Pasquinucci Heart Hospital, Massa, Italy

* To whom correspondence should be addressed. E-mail: asr_uz_2003{at}yahoo.com.


   Abstract
Since cardiac surgeons found themselves able to offer a less invasive access to heart and great vessels, one of the first techniques to satisfy the tendency of minimizing the surgical trauma during general cardiac surgical procedure was a ministernotomy. In the current paper, we present the technique of V-type ministernotomy in the 2nd intercostal space, which has been employed in our department from June 2007 in 85 consecutive patients (mean age: 58±18 years); those operations consisted of the aortic valve replacement (AVR), surgery of the ascending aorta and epiaortic arterial segment. Keywords: Ministernotomy; Minimally invasive; Aortic valve; Ascending aorta; Debranching





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