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- Title
321-IVIDEO-ASSISTED MINITHORACOTOMY SUTURELESS AORTIC VALVE REPLACEMENT WITH THE ENABLE I® DEVICE.
- Authors
Vola, M.; Fuzellier, J.F.; Campisi, S.; Bouchet, J.B.; Faure, M.
- Abstract
Objectives: To show the feasibility of the video-assisted implantation of the sutureless bioprosthesis Enable I® by way of a right anterior minithoracotomy.Methods: Between November 2012 and March 2013, eleven consecutive Enable I® video-assisted aortic valve replacements (AVR) (mean patient age 75 ± 5.4 years) have been performed with a minimally invasive right anterior and mini-thoracotomy approach in the second intercostal space.Results: All the AVRs could be achieved with the sutureless Enable I® bioprosthesis, with a mean clamping time of 62.7 ± 11.3 min. No intraoperative reclamping was necessary to reposition the valve, and no paravalvular leakage at discharge was reported. Surgical aortic valve decalcification and Enable I® delivery were possible under video-assistance with no conflict between the device, the camera and the surgical instruments in 10 cases. One case was converted to a median sternotomy because of severe pleural adhesions.Conclusions: In our initial experience, right mini-thoracotomy Enable I® video-assisted AVR seems to be safe and feasible with a satisfactory clamping time. The possibility of checking with video assistance the "step-by-step" delivery of the device, the presence of possible leakages, and the possibility to accurately re-adjust the position of the sutureless valve before rewarming the nitinol stent, make the Enable I® an excellent potential tool for the development of totally endoscopic AVR.
- Publication
Interactive Cardiovascular & Thoracic Surgery, 2013, Vol 17, Issue suppl_2, pS147
- ISSN
1569-9293
- Publication type
Article
- DOI
10.1093/icvts/ivt372.321