Cas clinique. Chirurgie combinée de pontage aorto-coronaire unique et remplacement valvulaire aortique par double mini-thoracotomie antérieure droite et gauche.
Cas clinique. Chirurgie combinée de pontage aorto-coronaire unique et remplacement valvulaire aortique par double mini-thoracotomie antérieure droite et gauche.
The efficiency of minimally invasive aortic valve surgery via right anterior thoracotomy is now well established. As far as coronary artery bypass graft surgery is concerned, many specialized centres are performing minimally invasive procedures with a left mini-thoracotomy either off-pump or on-pump. Multivessel operation is feasible. Up to date, only few authors described both procedures (coronary bypass graft surgery and valve surgery) in the same patient with a minimally invasive approach. We report a case of a female patient undergoing a single arterial coronary bypass surgery on the left anterior descending artery combined with an aortic valve replacement through bilateral anterior mini-thoracotomies.
La chirurgie valvulaire aortique par mini-thoracotomie antérieure droite a déjà fait ses preuves en chirurgie cardiaque. De plus en plus de centres spécialisés réalisent également la chirurgie coronaire par mini- thoracotomie gauche, soit à cœur battant, soit sous circulation extracorporelle. Cependant, l’association de ces deux procédures par une double thoracotomie droite et gauche n’est pas fréquente dans la littérature. Nous rapportons ici un cas de pontage coronarien unique sur l’artère interventriculaire antérieure et de remplacement valvulaire aortique par mini-thoracotomie bilatérale.
- University of Liège Belgium
- Centre Hospitalier Universitaire de Liège Belgium
Anesthésie & soins intensifs, Minimally Invasive Surgical Procedures/methods, Heart Valve Prosthesis Implantation/methods, Coronary artery bypass graft surgery, Systèmes cardiovasculaire & respiratoire, Sciences de la santé humaine, Cardiovascular & respiratory systems, Humans, Minimally Invasive Surgical Procedures, Aortic Valve Stenosis/surgery, Coronary Artery Bypass, Human health sciences, Aortic valve surgery, Aortic Valve/surgery, Chirurgie, Aged, Coronary Artery Bypass/methods, Heart Valve Prosthesis Implantation, Medicine (all), Thoracotomy/methods, Aortic Valve Stenosis, Anesthesia & intensive care, Minimally invasive cardiac surgery, Thoracotomy, Double thoracotomies, Aortic Valve, Female, Surgery
Anesthésie & soins intensifs, Minimally Invasive Surgical Procedures/methods, Heart Valve Prosthesis Implantation/methods, Coronary artery bypass graft surgery, Systèmes cardiovasculaire & respiratoire, Sciences de la santé humaine, Cardiovascular & respiratory systems, Humans, Minimally Invasive Surgical Procedures, Aortic Valve Stenosis/surgery, Coronary Artery Bypass, Human health sciences, Aortic valve surgery, Aortic Valve/surgery, Chirurgie, Aged, Coronary Artery Bypass/methods, Heart Valve Prosthesis Implantation, Medicine (all), Thoracotomy/methods, Aortic Valve Stenosis, Anesthesia & intensive care, Minimally invasive cardiac surgery, Thoracotomy, Double thoracotomies, Aortic Valve, Female, Surgery
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