Y-incision aortic root enlargement in a double valve replacement through subaxillary vertical thoracotomy

Ahmet Çekirdekçi

doi:10.5606/tgkdc.dergisi.2024.25876

Ahmet Çekirdekçi¹, Ali İhsan Parlar¹, Abdulkerim Özhan¹, Engin Akgül¹, Murat Eroglu¹

¹Department of Cardiovascular Surgery, Kütahya Health Sciences University, Evliya Çelebi Training and Research Hospital, Kütahya, Türkiye

DOI : 10.5606/tgkdc.dergisi.2024.25876

Aortic root enlargement procedures are used to implant a larger aortic valve. Median sternotomy may cause complications, including dehiscence and mediastinitis. Cosmetic concerns of median sternotomy are minimized with minimally invasive approaches. Although the subaxillary vertical incision is not a conventional minimally invasive approach, it is favored since the incision is hidden in the subaxilla, and the thoracic integrity is preserved. Herein, we demonstrated that Y-incision aortic root enlargement can be safely performed in double valve replacement through subaxillary vertical thoracotomy in a 63-year-old female patient with better cosmetic outcomes and without compromising the replaced mitral valve.

Keywords : Aortic stenosis, aortic valve, heart valve prosthesis, minimally invasive surgery, mitral valve

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