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Aortic Valve Replacement and Ascending Aortic Replacement Through an Upper Ministernotomy
Gaudiani V, Tsau P. Aortic Valve Replacement and Ascending Aortic Replacement Through an Upper Ministernotomy. April 2025. doi:10.25373/ctsnet.28892912
The patient was a 52-year-old man with a 5.2 cm aorta. A femoral vein cannula was placed, followed by an upper ministernotomy. Retrograde cardioplegia was administered while the aorta was opened after high aortic cannulation. A left ventricle (LV) vent was then placed, and the remainder of the proximal aorta was removed.
The decision regarding whether to perform a root or ascending replacement was carefully considered. In this case, an aortic valve replacement (AVR) alongside ascending aortic replacement was selected. Although the option of a valve-sparing root replacement was evaluated, the decision was made to choose a Mosaic biological valve in this situation.
The valve sutures were placed, along with several sutures from the outside of the aorta. The valve was then positioned, and the ascending aorta was replaced with a 32 mm Dacron graft. A technique for addressing a size mismatch is also shown in the video.
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