Reversed C-shaped Scanner-guided Ministernotomy for Isolated Aortic Valve Replacement

Here we present our technique of aortic valve replacement through a reversed C-shaped ministernotomy in 36 patients operated between 2017 and 2019. All patients had a preoperative computed tomography that guided the surgical approach. The sternum was incised at the level of the first and third or the second and fourth intercostal spaces. Cross-clamp time was of 65.2 +/- 15.9 minutes. Median extubation time was of 2 hours. There was no postoperative 30- day mortality. Because the upper and lower parts of the sternum remain intact, this approach may improve postoperative thoracic stability. (C) 2021 by The Society of Thoracic Surgeons