Minimally Invasive Surgical Aortic Valve Replacement: the RALT approach
- Karel Van Praet,
- Antonia van Kampen,
- Markus Kofler,
- Gregor Richter,
- Simon Suendermann,
- Alexander Meyer,
- Axel Unbehaun,
- Stephan Kurz,
- Stephan Jacobs,
- Volkmar Falk,
- Jörg Kempfert
Abstract
Less invasive techniques for cardiothoracic surgical procedures are
designed to limit surgical trauma, but technical requirements and
preoperative planning are more demanding than those for conventional
sternotomy. Patient selection, interdisciplinary collaboration, and
surgical skills are key factors for procedural success. Aortic valve
replacement is frequently performed through an upper hemisternotomy, but
the right anterior minithoracotomy represents an even less traumatic,
technical advancement. Preoperative assessment of the ascending aorta in
relation to the sternum is mandatory to select patients and the
intercostal access site. This description of the surgical technique
focuses on the specific procedural details including the obligatory
planning with computed tomography, and our cannulation strategy. We also
sought to define the anatomical ascending aorto-sternal relationship, as
it is of utmost importance in preoperative computed tomographic
planning.18 May 2020Submitted to Journal of Cardiac Surgery 19 May 2020Submission Checks Completed
19 May 2020Assigned to Editor
19 May 2020Reviewer(s) Assigned
22 May 2020Review(s) Completed, Editorial Evaluation Pending
25 May 2020Editorial Decision: Revise Minor
26 May 20201st Revision Received
30 May 2020Submission Checks Completed
30 May 2020Assigned to Editor
30 May 2020Reviewer(s) Assigned
31 May 2020Review(s) Completed, Editorial Evaluation Pending
31 May 2020Editorial Decision: Accept