Fatehi Hassanabad Ali, El Idrissi Kenza R, Kent William D T
Division of Cardiac Surgery, Cumming School of Medicine, Libin Cardiovascular Institute, Calgary, Canada.
Undergraduate Medical Education, Faculty of Medicine, McGill University, Montreal, Canada.
J Card Surg. 2020 Jul;35(7):1729-1731. doi: 10.1111/jocs.14674. Epub 2020 Jun 2.
Right anterior minithoracotomy (RAMT) is an alternative to full or partial sternotomy for accessing the aortic valve. The adoption of this approach for aortic valve replacement has been limited by its perceived technical complexity. Resection of a mobile aortic valve tumor is a simple procedure that is conventionally done through a sternotomy.
The following case describes the resection of an aortic valve papillary fibroelastoma through an RAMT.
MATERIALS & METHODS: This is a report on a single patient's case.
The fibroelastoma was safely excised through a RAMT approach.
An aortic valve fibroelastoma offers an ideal starting point for surgeons to begin using a RAMT approach.
The excision of aortic valve masses is a procedure that is well suited to minimally invasive strategies, and we suggest sternum-sparing RAMT is the optimal approach.
右前小切口开胸术（RAMT）是一种用于暴露主动脉瓣的替代全胸骨切开术或部分胸骨切开术的方法。这种方法用于主动脉瓣置换术一直受到其技术复杂性的限制。切除可移动的主动脉瓣肿瘤是一种常规通过胸骨切开术进行的简单手术。
以下病例描述了通过RAMT切除主动脉瓣乳头状纤维弹性瘤。
这是一份关于单例患者病例的报告。
通过RAMT方法安全切除了纤维弹性瘤。
主动脉瓣纤维弹性瘤为外科医生开始使用RAMT方法提供了一个理想的起点。
切除主动脉瓣肿物是一种非常适合微创策略的手术，我们建议保留胸骨的RAMT是最佳方法。
