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ISMICS 2025 Annual Meeting
28 - 31 May, 2025 | Istanbul, Turkey
D93
AORTIC VALVE REPLACEMENT THROUGH THE LEFT ANTERIOR MINITHORACOTOMY
Poster Presenter
Authors
Affiliations
null,
Part of Topic
Valve – Surgical Valves
Video
Aortic Valve Replacement Through the Left Anterior miniThoracotomy
Oleksandr Babliak, Dmytro Babliak
Diagnostic and Treatment Center For Children And Adults Of The Dobrobut Medical Network
Kyiv, Ukraine
BACKGROUND
Aortic valve replacement (AVR) is traditionally performed via full sternotomy, especially when combined with coronary artery bypass grafting (CABG). However, selected patients may benefit from a less invasive approach. We demonstrates a combined AVR and LAD grafting through a single left anterior minithoracotomy.
METHODS
Between 11 April 2023 and 31 March 2025, 17 patients underwent AVR via a 4th or 3rdintercostal space LAMT.
Surgical technique included:
RESULTS
No conversions to sternotomy were required. There were no intraoperative deaths or major complications. All patients were discharged with improved clinical status.
CONCLUSIONS
Left anterior minithoracotomy is a safe and feasible approach for AVR combining with CABG. It offers excellent exposure, allows full procedural control, and results in fast recovery with low complication rates, even in high-risk and obese patients.