Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.
Ann Thorac Surg. 2013 Aug;96(2):715-7. doi: 10.1016/j.athoracsur.2013.03.003.
Minimally invasive aortic valve replacement has been performed via partial sternotomy, the parasternal approach, and anterior intercostal approaches. We successfully performed aortic valve replacement through a small right infraaxillary thoracotomy in 25 patients, with the aid of a thoracoscope and a knot-pusher. The patients were 9 men and 16 women with a mean age of 72.6 years. Our approach had better cosmetic results than traditional approaches through the anterior chest wall. This method did not require rib transection or sacrifice of the internal thoracic artery.
经胸骨部分切开术、胸骨旁入路和前肋间入路进行了微创主动脉瓣置换术。我们在 25 名患者中成功地通过小的右腋下小切口进行了主动脉瓣置换术，借助胸腔镜和打结推进器。这些患者包括 9 名男性和 16 名女性，平均年龄为 72.6 岁。与传统的经前胸壁入路相比，我们的方法具有更好的美容效果。这种方法不需要切断肋骨或牺牲胸廓内动脉。
