Right anterior minithoracotomy for redo aortic valve replacement after coronary artery bypass grafting with bilateral internal thoracic artery: A case report

Abstract

A 63‐year‐old male, with a history of coronary artery bypass grafting using bilateral internal thoracic artery (ITA) grafts, underwent surgical aortic valve replacement (AVR). Avoiding the graft injury, we selected the right anterior minithoracotomy approach under cardiac arrest with systemic hyperkalemia with remaining bilateral ITA grafts open. Deep hypothermia was induced to obtain more reliable myocardial protection. We believe this strategy can be considered as a therapeutic option in patients requiring AVR but unsuitable for transcatheter AVR.

Keywords: valve repair/replacement.