Ersin EREK, Barbaros KINOĞLU, Tayyar SARIOĞLU, Vedat SANSOY, Ayşe SARIOĞLU, Numan Ali AYDEMİR

Aort kapak hastalığı ve subaortik stenoz olgularında alternatif "Less invasive" yaklaşım: Sağ anterior submammaryan minitorakotomi

"Less invasive" aort kapak yaklaşımlarında, özellikle bayanlarda kozmetik açıdan daha iyi olduğunu düşündüğümüz sağ anterior submammaryan minitorakotomi yaklaşımı sunulmaktadır. Aort stenozu bulunan 5, subaortik stenoz bulunan 3 hasta olmak üzere toplam 8 hastaya bu yöntem uygulandı. İnsizyonun boyu 7-12 cm idi ve subpektoral yaklaşımla 3. interkostal aralıktan toraksa girildi. Prosedür boyunca sadece konvansiyonel aletler kullanıldı ve kanülasyonların tümü torakotomi insizyonundan yapıldı. Aynı insizyonla, fakat 4. interkostal aralıktan girilerek mitral kapak patolojileri ve bazı konjenital kalp operasyonları da yapılabilmektedir.

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