Left Posterolateral Thoracotomy: An Alternative Approach for Pulmonary Valve Replacement François Roubertie, MD, Roland Henaine, MD, Xavier Roques, MD,

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Left Posterolateral Thoracotomy: An Alternative Approach for Pulmonary Valve Replacement François Roubertie, MD, Roland Henaine, MD, Xavier Roques, MD, PhD, Jean-Benoît Thambo, MD, PhD The Annals of Thoracic Surgery Volume 97, Issue 2, Pages 691-693 (February 2014) DOI: 10.1016/j.athoracsur.2013.05.113 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative angiographic CT scan showing (A) a transverse cross section and (B) a longitudinal cross section of an ascending aorta adhering to the sternum (black asterisk). The white arrow shows the left pulmonary artery ostial stenosis. The Annals of Thoracic Surgery 2014 97, 691-693DOI: (10.1016/j.athoracsur.2013.05.113) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Operative view through the left posterolateral thoracotomy. The black asterisk shows the equine pericardial patch partially sewn onto the right ventricular infundibulum. The bioprosthesis is implanted into the posterior half of the pulmonary annulus. The black arrow shows a vent placed in the left pulmonary branch when the ostial stenosis has been opened. The front and head of the patient are indicated in this view. The Annals of Thoracic Surgery 2014 97, 691-693DOI: (10.1016/j.athoracsur.2013.05.113) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions