Efficacy of the stonehenge technique for minimally invasive aortic valve replacement via right infraaxillary thoracotomy

Masataka Yamazaki, Hajime Kin, Shohei Kitamoto, Shota Yamanaka, Hidefumi Nishida, Kosaku Nishigawa, Shuichiro Takanashi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Minimally invasive cardiac surgeries for aortic valve replacement (AVR) are still a technical challenge for surgeons because these procedures are undertaken through small incisions and deep surgical fields. Although AVR via vertical infraaxillary thoracotomy can be a cosmetically superior option, a disadvantage of this approach is the distance between the thoracotomy incision and the ascending aorta. Therefore, we devised a technique to perform all manipulations using the fingertips without the aid of a knot pusher or long-shafted surgical instruments. This was achieved by particular placement of several retracted sutures to the right chest wall. We named placement of these sutures the “Stonehenge technique.” In conclusion, AVR via vertical infraaxillary thoracotomy with our Stonehenge technique can be safely and simply performed with superior cosmetic advantages.

Original languageEnglish
Pages (from-to)45-48
Number of pages4
JournalAnnals of Thoracic and Cardiovascular Surgery
Volume23
Issue number1
DOIs
Publication statusPublished - 2017
Externally publishedYes

Keywords

  • Aortic valve replacement
  • Minimally invasive cardiac surgery
  • Right infraaxillary mini-thoracotomy
  • Stonehenge technique

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Gastroenterology

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