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Right Anterior Minithoracotomy for Redo Aortic Valve Replacement After Coronary Artery Bypass Grafting with Bilateral Internal Thoracic Artery: a Case Report
  • Hironobu Nishiori,
  • Tomoki Sakata,
  • Goro Matsumiya
Hironobu Nishiori
Chiba Daigaku Igakubu Fuzoku Byoin

Corresponding Author:[email protected]

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Tomoki Sakata
Chiba Daigaku Igakubu Fuzoku Byoin
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Goro Matsumiya
Chiba Daigaku Igakubu Fuzoku Byoin
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Abstract

A 63-year-old male, with a history of coronary artery bypass grafting using bilateral internal thoracic artery grafts, underwent surgical aortic valve replacement. Avoiding the graft injury, we selected the right anterior mini-thoracotomy approach under cardiac arrest with systemic hyperkalemia with remaining bilateral internal thoracic artery grafts open. Deep hypothermia was induced to obtain more reliable myocardial protection. We believe this strategy can be considered as a therapeutic option in patients requiring aortic valve replacement but unsuitable for transcatheter aortic valve replacement.
26 Sep 2022Submitted to Journal of Cardiac Surgery
05 Oct 2022Assigned to Editor
05 Oct 2022Submission Checks Completed
06 Oct 2022Reviewer(s) Assigned
27 Oct 2022Review(s) Completed, Editorial Evaluation Pending
29 Oct 2022Editorial Decision: Accept
Dec 2022Published in Journal of Cardiac Surgery volume 37 issue 12 on pages 5613-5615. 10.1111/jocs.17184