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Domenico Mazzitelli
Wael Bedda
Ruediger Lange
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Eur J Cardiothorac Surg 2004;25:290-292
© 2004 Elsevier Science NL

Case report

Right parasternal approach for aortic valve replacement after retrosternal gastropexy

Domenico Mazzitelli*, Wael Bedda, Diana Petrova, Ruediger Lange

Department of Cardiovascular Surgery, German Heart Center at the Technical University, Lazarettstr. 36, 80636, Munich, Germany

Received 11 March 2003; received in revised form 2 July 2003; accepted 10 July 2003.

* Corresponding author. Tel.: +49-89-1218-4111; fax: +49-89-1218-4113
e-mail: mazzitelli{at}dhm.mhn.de

Aortic valve replacement had to be performed in a 77-year-old man with a history of esophageal carcinoma, which had been treated with two-staged esophageal resection and retrosternal gastropexy. Barium swallowing confirmed the retrosternal course of the stomach, which crossed the midline from the right upper abdomen to the left-sided neck anastomosis. Aortic valve replacement with a bioprosthesis was performed through a small right parasternal thoracotomy. The postoperative course was uneventful. We found that the right parasternal incision is an excellent surgical approach for aortic valve replacement in patients after retrosternal gastropexy.

Key Words: Minimally invasive • Aortic valve replacement • Gastropexy




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