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Aortic Valve Replacement via the Right Parasternal Approach with Thyroid Tumor / 日本心臓血管外科学会雑誌
Article in Ja | WPRIM | ID: wpr-379312
Responsible library: WPRO
ABSTRACT
<p>A 76-year-old woman required aortic valve replacement due to severe aortic stenosis. She had a huge thyroid cancer, which invaded the innominate and left internal jugular veins. We planned a two-stage operation : the first involved aortic valve replacement ; and the second involved operation of the thyroid cancer. To avoid median sternotomy, we adopted the right parasternal approach. A 7-cm right parasternal skin incision was made. The third and fourth costal cartilages were cut and bent into the right thoracic cavity, without removal of the ribs. The postoperative course was uneventful, and second operation was performed via the median sternotomy approach on postoperative day 53. The right parasternal approach can be used as an alternative when sternotomy is unsuitable in cases of aortic valve replacement.</p>
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Index: WPRIM Language: Ja Journal: Japanese journal of cardiovascular surgery Year: 2017 Type: Article
Search on Google
Index: WPRIM Language: Ja Journal: Japanese journal of cardiovascular surgery Year: 2017 Type: Article