2016年9月3日土曜日

Minimally Invasive Aortic Valve Replacement via Anterolateral Thoracotomy

https://www.youtube.com/watch?v=AjdL0JagAKI

right thracotomy no thracoscope 7cm skin insion
Venous cannulation (right atrium) from another skin incision site (thoracotomy)
Arterial cannulation was inserted through asc. aorta by using of with a 19 F uncoated ECMO cannula
No groin cannulations
Sutureless valve (Edwards intuity) : just three suture at commisures

Good
Central cannulation, no groin cannulations
Less bleeding and infection
Cosmetic

Bad
Postoperative pain?
Sacrifice of RIMA
Difficult technique

Questuion
need differential lung ventilation?

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