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Redo Aortic Valve Replacement Through a Ministernotomy
Gaudiani V, Tsau P. Redo Aortic Valve Replacement Through a Ministernotomy. April 2025. doi:10.25373/ctsnet.28886903
The patient was a 50-year-old man who had undergone a 27 mm Mosaic aortic valve replacement three years previously, who, unfortunately developed a streptococcus mitis infection. The valve was sterilized, but he was left with severe aortic regurgitation.
The method described is intended to prevent any emboli from being displaced to the brain using retrograde cardioplegia and early cross-clamping.
The Cor-Knots were removed, and then a 25mm Inspiris valve was selected. The annulus was debrided, and unpledgeted sutures were used, taking advantage of the scar tissue in the annulus.
The valve was placed down, and the aorta was closed.
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