Reversed “C” ministernotomy for aortic valve replacement

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Reversed “C” ministernotomy for aortic valve replacement Alejandro Aris, MD, PhD The Annals of Thoracic Surgery Volume 67, Issue 6, Pages 1806-1807 (June 1999) DOI: 10.1016/S0003-4975(99)00208-8

Fig 1 The sternal incision extends from the second to the fifth intercostal space. In individuals with a short chest, the first and fourth spaces can be used (dotted line). The Annals of Thoracic Surgery 1999 67, 1806-1807DOI: (10.1016/S0003-4975(99)00208-8)

Fig 2 View of the ascending aorta, aortic root, and tip of the right atrial appendage through the incision. The Annals of Thoracic Surgery 1999 67, 1806-1807DOI: (10.1016/S0003-4975(99)00208-8)

Fig 3 The chest cavity can be compared with a dome with a suspension bridge over its top. Windows can be opened safely without compromising its stability. The Annals of Thoracic Surgery 1999 67, 1806-1807DOI: (10.1016/S0003-4975(99)00208-8)