24/1/09

Cambio aórtico por toracotomía izquierda después de una cirugía de esófago.

Aortic valve replacement through left thoracotomy ...[Ann Thorac Surg. 2008] - PubMed Result:
Paciente con cirugía de esófago 14 años atrás, con tubo gástrico subesternal. Se abordó la válvula aórtica por toracotomía izquierda.
A 67-year-old man was referred for aortic valve surgery due to aortic valve regurgitation. He underwent an aortic valve replacement through a left thoracotomy, since he had a history of esophageal surgery with substernal gastric tube reconstruction and lymph node dissection through a right thoracotomy 14 years ago. The aortic valve was successfully replaced with excellent visualization using vacuum-assisted venous drainage on a cardiopulmonary bypass. Although exposing the aortic valve through a left thoracotomy is difficult, the application of vacuum-assisted venous drainage helps visualize the aortic valve in this approach."

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