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Eur J Cardiothorac Surg 2001;20:1032
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Video-assisted Port-AccessTM aortic valve exploration through left atriotomy

Pascal Schroeyersa, José Coddensb, Yvette Vermeulena, Hugo Vanermena

a Department of Cardiovascular and Thoracic Surgery, Onze Lieve Vrouw Clinic, Aalst, Belgium
b Department of Anesthesia and Intensive Care Medicine, Onze Lieve Vrouw Clinic, Aalst, Belgium

Received 13 June 2001; accepted 18 July 2001.

Corresponding author. Tel.: +32-53-724098; fax: +32-2-221-9803
e-mail: hugo.vanermen{at}olvz-aalst.be

Key Words: Video-assisted Port-AccessTM • Left atriotomy • Tumor

A 52-year-old-male was scheduled for video-assisted mitral valve reconstruction. Preoperative TEE revealed a polypoid tumor on the ventricular side of the fully competent aortic valve.

To gain access to the left ventricular outflow tract, the base of the anterior leaflet was incised to obtain view of the aortic valve (Figs. 1 and 2).



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  		Fig. 1. Port-AccessTM set-up and desinsertion of the left trigonous mitral valve anterior leaflet.

 


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  		Fig. 2. View of a fibroelastoma pending under the right coronary leaflet.

 



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